| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,536 |
4,346 |
$113K |
| 99223 |
Prolong inpt eval add15 m |
260 |
256 |
$12K |
| 99233 |
Prolong inpt eval add15 m |
314 |
88 |
$7K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
348 |
141 |
$4K |
| 99442 |
|
95 |
94 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
36 |
36 |
$1K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
12 |
12 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
65 |
64 |
$150.22 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
66 |
12 |
$82.50 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
12 |
12 |
$15.72 |
| J0670 |
Injection, mepivacaine hydrochloride, per 10 ml |
12 |
12 |
$7.20 |