| Code | Description | Claims | Beneficiaries | Total Paid |
| 51701 |
|
393 |
346 |
$11K |
| 90912 |
|
134 |
90 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
144 |
130 |
$8K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
118 |
74 |
$7K |
| 90911 |
|
32 |
25 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44 |
38 |
$2K |
| 51784 |
|
27 |
13 |
$1K |
| 81002 |
|
534 |
492 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
12 |
$1K |
| A4310 |
Insertion tray without drainage bag and without catheter (accessories only) |
14 |
13 |
$107.83 |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
13 |
12 |
$34.32 |