| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,050 |
10,885 |
$684K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,154 |
1,100 |
$102K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,506 |
1,431 |
$71K |
| 64635 |
|
165 |
142 |
$29K |
| 99152 |
|
1,004 |
848 |
$22K |
| 77003 |
|
1,183 |
959 |
$14K |
| 27096 |
|
78 |
69 |
$9K |
| 64493 |
|
48 |
43 |
$5K |
| 72275 |
|
63 |
58 |
$5K |
| 64490 |
|
30 |
28 |
$4K |
| 99153 |
Mod sedat endo service >5yrs |
379 |
315 |
$3K |
| 64636 |
|
12 |
12 |
$2K |
| 99442 |
|
76 |
70 |
$2K |
| 64494 |
|
35 |
30 |
$2K |
| 64491 |
|
27 |
25 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
56 |
53 |
$2K |
| 80305 |
|
150 |
133 |
$1K |
| 76942 |
|
12 |
12 |
$1K |
| 64495 |
|
17 |
13 |
$947.60 |
| 77002 |
|
55 |
47 |
$443.47 |
| G2252 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion |
13 |
12 |
$208.17 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
24 |
24 |
$91.86 |
| S9999 |
Sales tax |
213 |
185 |
$0.05 |