| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
709 |
581 |
$31K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
29 |
15 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
77 |
71 |
$4K |
| 99205 |
Prolong outpt/office vis |
33 |
33 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17 |
13 |
$567.80 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
19 |
12 |
$298.80 |
| 95819 |
|
12 |
12 |
$66.43 |