| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
707 |
683 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
66 |
65 |
$2K |
| 64483 |
|
13 |
13 |
$1K |
| 77002 |
|
25 |
25 |
$239.72 |
| 99443 |
|
14 |
14 |
$28.75 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
12 |
12 |
$22.20 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
12 |
12 |
$3.96 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
12 |
12 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
28 |
24 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
44 |
39 |
$0.00 |