| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,243 |
13,977 |
$1.13M |
| 96127 |
|
19,079 |
15,820 |
$359K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,506 |
4,636 |
$289K |
| 99404 |
|
1,801 |
1,160 |
$175K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,087 |
958 |
$116K |
| 80305 |
|
7,929 |
6,958 |
$67K |
| 64483 |
|
168 |
163 |
$35K |
| 64635 |
|
109 |
88 |
$31K |
| 64493 |
|
162 |
135 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
195 |
173 |
$14K |
| 64494 |
|
131 |
109 |
$8K |
| 64636 |
|
109 |
88 |
$6K |
| 64495 |
|
79 |
68 |
$6K |
| 64490 |
|
35 |
23 |
$5K |
| 95909 |
|
42 |
41 |
$4K |
| 99484 |
|
764 |
683 |
$4K |
| 95886 |
|
62 |
56 |
$3K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
64 |
44 |
$3K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
64 |
44 |
$2K |
| 64491 |
|
34 |
22 |
$2K |
| 64492 |
|
29 |
18 |
$2K |
| 64484 |
|
12 |
12 |
$1K |
| 20610 |
|
33 |
26 |
$1K |
| 98977 |
|
91 |
86 |
$664.32 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$423.42 |
| 98980 |
|
67 |
61 |
$266.01 |
| 93041 |
|
62 |
44 |
$257.25 |
| 98981 |
|
48 |
43 |
$191.21 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
107 |
96 |
$53.11 |
| 99000 |
|
13 |
12 |
$36.60 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
34 |
27 |
$30.07 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
63 |
43 |
$21.49 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
14 |
13 |
$18.59 |
| 90834 |
Psychotherapy, 45 minutes with patient |
44 |
40 |
$0.00 |