| Code | Description | Claims | Beneficiaries | Total Paid |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
6,476 |
6,437 |
$949K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
875 |
874 |
$437K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,856 |
3,748 |
$352K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,631 |
2,599 |
$165K |
| 01922 |
|
326 |
325 |
$85K |
| 01966 |
|
594 |
594 |
$57K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
233 |
232 |
$32K |
| 01961 |
|
91 |
91 |
$29K |
| 00140 |
|
148 |
148 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
231 |
231 |
$21K |
| 90834 |
Psychotherapy, 45 minutes with patient |
289 |
163 |
$18K |
| 00731 |
|
50 |
50 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
68 |
26 |
$5K |
| 00126 |
|
55 |
55 |
$4K |
| 64493 |
|
12 |
12 |
$1K |
| 00142 |
|
12 |
12 |
$956.26 |
| 76942 |
|
38 |
38 |
$871.00 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
23 |
16 |
$710.55 |
| 64494 |
|
12 |
12 |
$616.11 |