| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
2,836 |
2,484 |
$2.76M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
58,974 |
19,179 |
$2.45M |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
91,817 |
44,717 |
$1.90M |
| J0475 |
Injection, baclofen, 10 mg |
509 |
431 |
$183K |
| 99306 |
Prolong nursin fac eval 15m |
4,944 |
4,528 |
$157K |
| 99223 |
Prolong inpt eval add15 m |
1,087 |
1,017 |
$106K |
| 64643 |
|
1,850 |
1,673 |
$85K |
| 64642 |
|
1,249 |
1,103 |
$77K |
| 99307 |
|
5,962 |
3,531 |
$68K |
| 64644 |
|
1,198 |
1,071 |
$65K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,616 |
1,455 |
$60K |
| 95874 |
|
2,734 |
2,459 |
$38K |
| 62370 |
|
709 |
643 |
$27K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
166 |
153 |
$13K |
| J3490 |
Unclassified drugs |
97 |
76 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
67 |
66 |
$3K |
| 95886 |
|
65 |
53 |
$3K |
| 99315 |
|
54 |
52 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
36 |
36 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
149 |
76 |
$569.28 |
| J7999 |
Compounded drug, not otherwise classified |
12 |
12 |
$172.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
104 |
101 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
34 |
34 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
28 |
28 |
$0.00 |