| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,130 |
5,380 |
$169K |
| 99215 |
Prolong outpt/office vis |
1,650 |
1,548 |
$80K |
| 00630 |
|
698 |
566 |
$79K |
| 99152 |
|
1,337 |
1,038 |
$74K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,998 |
2,798 |
$53K |
| 27096 |
|
202 |
199 |
$45K |
| 23350 |
|
191 |
180 |
$34K |
| 20610 |
|
1,027 |
854 |
$30K |
| 99205 |
Prolong outpt/office vis |
237 |
235 |
$24K |
| 64625 |
|
14 |
12 |
$16K |
| 80305 |
|
1,193 |
1,166 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
851 |
808 |
$11K |
| 20552 |
|
254 |
229 |
$9K |
| 73525 |
|
295 |
278 |
$7K |
| 94770 |
|
675 |
531 |
$7K |
| 62323 |
|
14 |
13 |
$5K |
| 72110 |
|
361 |
308 |
$5K |
| 72020 |
|
572 |
479 |
$4K |
| 64493 |
|
25 |
24 |
$4K |
| 20605 |
|
140 |
132 |
$3K |
| 73040 |
|
179 |
169 |
$3K |
| 73030 |
|
118 |
109 |
$2K |
| 99153 |
Mod sedat endo service >5yrs |
41 |
34 |
$2K |
| 72114 |
|
52 |
49 |
$1K |
| 64494 |
|
12 |
12 |
$616.66 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
80 |
74 |
$589.18 |
| 72275 |
|
13 |
12 |
$397.58 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
44 |
40 |
$251.49 |
| 72100 |
|
28 |
28 |
$222.99 |
| 72200 |
|
28 |
28 |
$218.25 |
| 73502 |
|
12 |
12 |
$167.45 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
399 |
323 |
$123.22 |
| 99406 |
|
15 |
15 |
$0.32 |