| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
1,500 |
762 |
$952K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,564 |
5,533 |
$652K |
| 99215 |
Prolong outpt/office vis |
3,354 |
3,326 |
$527K |
| 64615 |
|
774 |
774 |
$106K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
534 |
534 |
$85K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
991 |
988 |
$83K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
372 |
117 |
$77K |
| 95812 |
|
1,129 |
1,127 |
$63K |
| 99205 |
Prolong outpt/office vis |
236 |
235 |
$49K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
614 |
613 |
$32K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
340 |
230 |
$24K |
| 95720 |
|
66 |
27 |
$13K |
| 99222 |
Initial hospital care, per day, moderate complexity |
80 |
80 |
$10K |
| 95886 |
|
95 |
93 |
$9K |
| 92250 |
|
472 |
470 |
$9K |
| 95816 |
|
138 |
137 |
$7K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
84 |
75 |
$5K |
| 99221 |
|
52 |
51 |
$5K |
| 92083 |
|
173 |
172 |
$5K |
| 95923 |
|
24 |
24 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
50 |
24 |
$2K |
| 95938 |
|
51 |
51 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
13 |
13 |
$2K |
| 95924 |
|
12 |
12 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
16 |
$2K |
| 95885 |
|
40 |
40 |
$2K |
| 95819 |
|
12 |
12 |
$612.26 |