| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,245 |
5,028 |
$308K |
| 99215 |
Prolong outpt/office vis |
1,342 |
1,279 |
$95K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
875 |
844 |
$80K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
524 |
504 |
$21K |
| 99205 |
Prolong outpt/office vis |
194 |
180 |
$20K |
| 64483 |
|
117 |
100 |
$15K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
210 |
94 |
$11K |
| 99152 |
|
267 |
240 |
$9K |
| 64493 |
|
44 |
39 |
$6K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
94 |
91 |
$6K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
136 |
128 |
$4K |
| 64635 |
|
18 |
12 |
$3K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
14 |
14 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
446 |
374 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
25 |
17 |
$2K |
| 64494 |
|
30 |
27 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
13 |
13 |
$2K |
| 64636 |
|
18 |
12 |
$1K |
| 99442 |
|
44 |
40 |
$1K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
24 |
24 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
16 |
13 |
$1K |
| 99153 |
Mod sedat endo service >5yrs |
85 |
66 |
$661.75 |
| 72114 |
|
13 |
13 |
$508.30 |
| 98967 |
|
31 |
26 |
$439.03 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
18 |
$436.24 |
| J3490 |
Unclassified drugs |
275 |
208 |
$341.40 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
217 |
184 |
$110.54 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
234 |
203 |
$55.85 |