| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,064 |
1,006 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,543 |
1,279 |
$35K |
| 95806 |
|
270 |
261 |
$14K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
207 |
115 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
86 |
85 |
$5K |
| 95886 |
|
90 |
89 |
$4K |
| 99205 |
Prolong outpt/office vis |
37 |
37 |
$3K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
14 |
13 |
$937.18 |
| 99442 |
|
12 |
12 |
$738.40 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$736.87 |
| 95908 |
|
12 |
12 |
$708.70 |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$592.85 |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
12 |
$378.30 |
| 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 |
35 |
34 |
$257.87 |