| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,937 |
3,912 |
$324K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,068 |
2,067 |
$264K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,826 |
3,760 |
$229K |
| 95886 |
|
1,131 |
1,119 |
$155K |
| 95911 |
|
771 |
760 |
$136K |
| 95819 |
|
239 |
238 |
$76K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
525 |
525 |
$47K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
13 |
12 |
$635.91 |
| 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) |
67 |
67 |
$451.76 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
37 |
37 |
$449.13 |
| 0011A |
|
12 |
12 |
$189.55 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
26 |
26 |
$36.20 |
| J7050 |
Infusion, normal saline solution, 250 cc |
13 |
12 |
$6.37 |