| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,379 |
17,264 |
$1.16M |
| 76942 |
|
4,247 |
3,936 |
$268K |
| 64493 |
|
2,437 |
1,518 |
$244K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,047 |
5,749 |
$235K |
| 20553 |
|
4,407 |
4,067 |
$153K |
| 64494 |
|
2,434 |
1,518 |
$142K |
| 64495 |
|
2,012 |
1,216 |
$124K |
| 99152 |
|
2,230 |
2,060 |
$54K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,730 |
3,592 |
$49K |
| 20611 |
|
716 |
552 |
$39K |
| 64484 |
|
190 |
152 |
$38K |
| 64483 |
|
190 |
152 |
$37K |
| 64490 |
|
293 |
188 |
$35K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
275 |
257 |
$29K |
| 64491 |
|
293 |
188 |
$20K |
| 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) |
2,072 |
1,906 |
$18K |
| 64492 |
|
205 |
132 |
$15K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
2,633 |
2,396 |
$10K |
| 64635 |
|
27 |
25 |
$7K |
| 64636 |
|
27 |
25 |
$6K |
| 76882 |
|
286 |
251 |
$5K |
| 96132 |
|
82 |
79 |
$5K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
8,444 |
7,668 |
$5K |
| 96138 |
|
310 |
243 |
$4K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,058 |
2,785 |
$2K |
| 99406 |
|
133 |
95 |
$843.66 |
| J2704 |
Injection, propofol, 10 mg |
1,713 |
1,608 |
$642.03 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
166 |
156 |
$128.85 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
443 |
418 |
$92.54 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
40 |
35 |
$0.10 |