| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,375 |
2,785 |
$63K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,044 |
6,538 |
$42K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
600 |
514 |
$27K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
207 |
177 |
$7K |
| 73630 |
|
445 |
259 |
$2K |
| 73140 |
|
164 |
122 |
$2K |
| 73130 |
|
366 |
250 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
55 |
14 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
25 |
15 |
$914.50 |
| 99222 |
Initial hospital care, per day, moderate complexity |
16 |
14 |
$879.14 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
59 |
30 |
$707.44 |
| 29075 |
|
18 |
16 |
$434.04 |
| 99426 |
|
203 |
185 |
$309.53 |
| 99427 |
|
139 |
127 |
$210.99 |
| 20610 |
|
131 |
79 |
$172.20 |
| 99215 |
Prolong outpt/office vis |
56 |
41 |
$28.55 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
23 |
12 |
$6.48 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
94 |
61 |
$4.70 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
21 |
15 |
$0.00 |
| 73564 |
|
34 |
12 |
$0.00 |