| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,786 |
9,740 |
$871K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
1,782 |
1,782 |
$375K |
| 95819 |
|
967 |
967 |
$286K |
| 70544 |
|
866 |
865 |
$188K |
| 95886 |
|
2,443 |
1,348 |
$165K |
| 95913 |
|
485 |
432 |
$103K |
| 70547 |
|
388 |
388 |
$96K |
| 72141 |
|
505 |
505 |
$92K |
| 64400 |
|
552 |
552 |
$64K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
464 |
464 |
$62K |
| 64450 |
|
1,009 |
1,008 |
$58K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
256 |
256 |
$44K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
59 |
59 |
$24K |
| 95887 |
|
280 |
280 |
$18K |
| 95923 |
|
193 |
193 |
$17K |
| J3490 |
Unclassified drugs |
327 |
327 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
220 |
220 |
$12K |
| 95921 |
|
193 |
193 |
$11K |
| 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) |
658 |
655 |
$7K |
| 99442 |
|
100 |
97 |
$7K |
| 20553 |
|
278 |
278 |
$5K |
| 99205 |
Prolong outpt/office vis |
26 |
26 |
$4K |
| 20552 |
|
173 |
173 |
$3K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
74 |
50 |
$1K |
| 93922 |
|
25 |
25 |
$1K |
| 99441 |
|
13 |
13 |
$571.02 |
| 99406 |
|
47 |
47 |
$529.90 |
| G2012 |
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; 5-10 minutes of medical discussion |
50 |
50 |
$529.12 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
92 |
92 |
$116.70 |