| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,424 |
3,921 |
$300K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,129 |
2,530 |
$294K |
| 80305 |
|
1,530 |
1,194 |
$10K |
| 64493 |
|
73 |
49 |
$8K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
740 |
559 |
$7K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
109 |
28 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
78 |
60 |
$3K |
| 99205 |
Prolong outpt/office vis |
15 |
13 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
100 |
14 |
$2K |
| 20552 |
|
50 |
42 |
$2K |
| 64494 |
|
18 |
12 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
17 |
12 |
$1K |
| 99406 |
|
29 |
25 |
$368.95 |
| 80306 |
|
28 |
27 |
$137.12 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
91 |
75 |
$36.32 |
| A4550 |
Surgical trays |
1,539 |
1,049 |
$34.85 |
| 99000 |
|
1,582 |
1,199 |
$0.00 |