| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
36,849 |
32,889 |
$2.17M |
| J2357 |
Injection, omalizumab, 5 mg |
825 |
434 |
$945K |
| 99233 |
Prolong inpt eval add15 m |
6,274 |
2,563 |
$281K |
| 95800 |
|
2,421 |
2,302 |
$262K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,640 |
2,437 |
$247K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,625 |
3,384 |
$173K |
| 99223 |
Prolong inpt eval add15 m |
1,347 |
1,210 |
$111K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
273 |
251 |
$56K |
| 96401 |
|
525 |
455 |
$51K |
| 99215 |
Prolong outpt/office vis |
602 |
505 |
$38K |
| 95811 |
|
110 |
87 |
$31K |
| 95806 |
|
352 |
315 |
$29K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,069 |
548 |
$29K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
355 |
136 |
$23K |
| 94729 |
|
419 |
391 |
$14K |
| 94726 |
|
385 |
356 |
$12K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
66 |
49 |
$12K |
| 99454 |
|
916 |
721 |
$6K |
| 99457 |
|
875 |
696 |
$5K |
| 99490 |
Ccm add 20min |
1,526 |
1,331 |
$5K |
| 94060 |
|
182 |
172 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
203 |
144 |
$3K |
| 99406 |
|
390 |
347 |
$2K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
648 |
603 |
$2K |
| 94010 |
|
154 |
132 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
63 |
54 |
$688.99 |
| 99458 |
|
86 |
61 |
$221.99 |
| 99453 |
|
86 |
62 |
$44.15 |