| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,755 |
20,016 |
$1.58M |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
4,955 |
4,442 |
$691K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,818 |
10,100 |
$547K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
1,540 |
1,334 |
$540K |
| 95813 |
|
1,516 |
1,355 |
$302K |
| 99215 |
Prolong outpt/office vis |
1,248 |
1,081 |
$109K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,010 |
811 |
$105K |
| 99245 |
|
295 |
280 |
$53K |
| 95886 |
|
1,080 |
959 |
$47K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
85 |
77 |
$43K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
677 |
435 |
$26K |
| 99233 |
Prolong inpt eval add15 m |
394 |
203 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
360 |
338 |
$13K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
167 |
122 |
$12K |
| 95708 |
|
64 |
36 |
$11K |
| 92083 |
|
275 |
246 |
$10K |
| 99205 |
Prolong outpt/office vis |
76 |
63 |
$8K |
| 99223 |
Prolong inpt eval add15 m |
67 |
53 |
$6K |
| 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) |
2,456 |
2,173 |
$5K |
| 95910 |
|
69 |
68 |
$4K |
| 64615 |
|
80 |
62 |
$4K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
64 |
37 |
$4K |
| 95720 |
|
27 |
15 |
$4K |
| 99243 |
|
40 |
39 |
$3K |
| 92133 |
|
140 |
120 |
$3K |
| 95816 |
|
13 |
12 |
$2K |
| 95912 |
|
12 |
12 |
$2K |
| 95885 |
|
50 |
41 |
$803.55 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
28 |
12 |
$649.48 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$640.05 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
487 |
274 |
$333.65 |
| 97750 |
|
40 |
31 |
$116.10 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
40 |
25 |
$1.02 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
20 |
12 |
$0.00 |
| 95700 |
|
25 |
24 |
$0.00 |
| 96119 |
|
16 |
13 |
$0.00 |
| 96120 |
|
20 |
16 |
$0.00 |