| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,742 |
20,978 |
$1.34M |
| 64493 |
|
2,734 |
2,424 |
$277K |
| 64635 |
|
1,275 |
1,078 |
$251K |
| 62323 |
|
1,736 |
1,625 |
$177K |
| 64636 |
|
1,262 |
995 |
$139K |
| 64494 |
|
2,702 |
2,399 |
$131K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
969 |
951 |
$87K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,335 |
1,300 |
$57K |
| 01936 |
|
1,257 |
1,004 |
$50K |
| 27096 |
|
601 |
583 |
$49K |
| 64483 |
|
465 |
442 |
$43K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
611 |
579 |
$31K |
| J3490 |
Unclassified drugs |
6,313 |
5,748 |
$29K |
| 64495 |
|
431 |
361 |
$25K |
| 62321 |
|
223 |
210 |
$23K |
| 20610 |
|
694 |
659 |
$17K |
| 64450 |
|
302 |
133 |
$12K |
| 99152 |
|
577 |
482 |
$10K |
| 77002 |
|
389 |
299 |
$8K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
7,444 |
7,038 |
$7K |
| 64640 |
|
68 |
41 |
$5K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
25 |
25 |
$3K |
| 64490 |
|
15 |
13 |
$2K |
| 99243 |
|
29 |
29 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
25 |
25 |
$1K |
| 64491 |
|
15 |
13 |
$866.25 |
| J2704 |
Injection, propofol, 10 mg |
1,150 |
979 |
$822.18 |
| 99153 |
Mod sedat endo service >5yrs |
131 |
116 |
$763.64 |
| 82947 |
|
257 |
232 |
$569.27 |
| 64484 |
|
12 |
12 |
$363.30 |
| 01935 |
|
26 |
14 |
$347.72 |
| 01992 |
|
17 |
17 |
$256.52 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
218 |
204 |
$183.29 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
357 |
326 |
$59.56 |
| 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) |
15 |
14 |
$33.50 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
14 |
14 |
$1.35 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
376 |
349 |
$0.00 |