| Code | Description | Claims | Beneficiaries | Total Paid |
| 95886 |
|
875 |
838 |
$144K |
| 95913 |
|
380 |
379 |
$108K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
227 |
131 |
$70K |
| 99205 |
Prolong outpt/office vis |
544 |
544 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,211 |
1,207 |
$28K |
| 64615 |
|
204 |
204 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
307 |
306 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
410 |
402 |
$9K |
| 99215 |
Prolong outpt/office vis |
169 |
168 |
$7K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
104 |
104 |
$401.08 |