| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,092 |
4,719 |
$299K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,575 |
5,843 |
$225K |
| 64483 |
|
1,535 |
1,405 |
$194K |
| 95911 |
|
1,018 |
972 |
$123K |
| 95886 |
|
1,138 |
1,064 |
$109K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
907 |
887 |
$75K |
| 64493 |
|
482 |
438 |
$52K |
| 99205 |
Prolong outpt/office vis |
479 |
474 |
$50K |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
5,898 |
2,639 |
$36K |
| 62321 |
|
331 |
303 |
$31K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
2,138 |
1,945 |
$20K |
| 64494 |
|
429 |
389 |
$20K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
944 |
898 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
73 |
73 |
$4K |
| 80305 |
|
1,042 |
983 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
483 |
433 |
$3K |
| 64484 |
|
73 |
68 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
503 |
460 |
$511.34 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
492 |
439 |
$191.71 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
13 |
13 |
$63.69 |
| 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) |
12 |
12 |
$27.68 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
536 |
436 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
313 |
228 |
$0.00 |