| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,876 |
13,169 |
$545K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,828 |
9,342 |
$541K |
| 95886 |
|
532 |
444 |
$79K |
| 99205 |
Prolong outpt/office vis |
820 |
806 |
$78K |
| 99215 |
Prolong outpt/office vis |
640 |
591 |
$48K |
| 99245 |
|
247 |
240 |
$41K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
214 |
211 |
$37K |
| 64615 |
|
316 |
311 |
$34K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
421 |
421 |
$34K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
215 |
207 |
$30K |
| 95816 |
|
74 |
74 |
$20K |
| 95819 |
|
69 |
66 |
$18K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
175 |
169 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
181 |
178 |
$5K |
| 95913 |
|
13 |
13 |
$4K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
87 |
66 |
$4K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
238 |
227 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
46 |
45 |
$2K |
| 95910 |
|
13 |
13 |
$2K |
| 64616 |
|
13 |
12 |
$972.55 |
| 95874 |
|
17 |
17 |
$831.71 |
| 76377 |
|
55 |
42 |
$508.24 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$117.92 |