| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
461 |
418 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
156 |
142 |
$11K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
34 |
29 |
$8K |
| 99442 |
|
70 |
55 |
$879.38 |
| 99223 |
Prolong inpt eval add15 m |
15 |
15 |
$775.88 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
32 |
13 |
$609.85 |
| 94060 |
|
15 |
13 |
$219.93 |
| 94729 |
|
13 |
12 |
$214.33 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
39 |
35 |
$207.91 |
| 90674 |
|
13 |
13 |
$192.19 |