| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,674 |
7,400 |
$945K |
| 20553 |
|
3,748 |
1,457 |
$151K |
| 99215 |
Prolong outpt/office vis |
563 |
436 |
$54K |
| 99205 |
Prolong outpt/office vis |
243 |
223 |
$34K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
229 |
211 |
$28K |
| 96127 |
|
1,444 |
1,055 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
166 |
138 |
$9K |
| 80305 |
|
787 |
631 |
$8K |
| 99000 |
|
1,464 |
1,261 |
$4K |
| 99354 |
|
12 |
12 |
$921.92 |
| 99417 |
Prolong home eval add 15m |
19 |
15 |
$856.02 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
26 |
25 |
$286.28 |
| 99406 |
|
15 |
14 |
$186.60 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
26 |
$98.85 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
13 |
$4.56 |