| Code | Description | Claims | Beneficiaries | Total Paid |
| 36482 |
|
148 |
130 |
$213K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,918 |
1,759 |
$143K |
| 93970 |
|
584 |
578 |
$90K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
575 |
575 |
$56K |
| 36475 |
|
48 |
45 |
$36K |
| 93971 |
|
227 |
208 |
$21K |
| 36902 |
|
25 |
25 |
$14K |
| 93925 |
|
53 |
53 |
$6K |
| 36471 |
|
42 |
39 |
$6K |
| 99152 |
|
248 |
236 |
$4K |
| 76937 |
|
249 |
206 |
$4K |
| 99153 |
Mod sedat endo service >5yrs |
197 |
188 |
$3K |
| 93990 |
|
13 |
13 |
$376.69 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
15 |
$163.20 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
78 |
73 |
$135.32 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
60 |
56 |
$116.55 |
| 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) |
26 |
24 |
$2.79 |