| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,388 |
4,070 |
$452K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,241 |
2,085 |
$172K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
369 |
155 |
$114K |
| 96118 |
|
90 |
60 |
$60K |
| 99215 |
Prolong outpt/office vis |
403 |
381 |
$53K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
997 |
463 |
$44K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
885 |
353 |
$35K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
32 |
28 |
$19K |
| 95819 |
|
38 |
38 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
272 |
258 |
$14K |
| 99205 |
Prolong outpt/office vis |
44 |
42 |
$10K |
| 96132 |
|
50 |
43 |
$9K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
30 |
27 |
$7K |
| 64615 |
|
37 |
27 |
$5K |
| 99245 |
|
13 |
13 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$3K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
60 |
26 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
31 |
28 |
$1K |
| 97032 |
|
29 |
12 |
$741.49 |
| 99406 |
|
25 |
24 |
$329.25 |
| 99442 |
|
15 |
13 |
$305.77 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
35 |
24 |
$13.11 |
| 99072 |
|
210 |
205 |
$0.00 |