| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,010 |
8,899 |
$1.22M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,340 |
1,340 |
$251K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,755 |
1,748 |
$188K |
| 95720 |
|
767 |
528 |
$172K |
| 99215 |
Prolong outpt/office vis |
701 |
699 |
$140K |
| 99205 |
Prolong outpt/office vis |
558 |
558 |
$124K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
113 |
105 |
$103K |
| 76942 |
|
1,599 |
1,544 |
$78K |
| 64418 |
|
488 |
272 |
$42K |
| 64615 |
|
191 |
191 |
$37K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
197 |
197 |
$27K |
| 95816 |
|
55 |
55 |
$22K |
| 95951 |
|
46 |
24 |
$16K |
| 20553 |
|
415 |
317 |
$13K |
| 99222 |
Initial hospital care, per day, moderate complexity |
85 |
85 |
$13K |
| 64450 |
|
289 |
132 |
$11K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
57 |
57 |
$8K |
| 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) |
455 |
451 |
$8K |
| 64405 |
|
152 |
64 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
25 |
25 |
$5K |
| 95886 |
|
38 |
38 |
$5K |
| 96132 |
|
37 |
37 |
$4K |
| 95811 |
|
13 |
13 |
$2K |
| 96127 |
|
150 |
150 |
$950.39 |
| 96138 |
|
25 |
25 |
$915.61 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
292 |
287 |
$623.67 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
24 |
24 |
$183.38 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
12 |
12 |
$43.56 |
| J7050 |
Infusion, normal saline solution, 250 cc |
82 |
63 |
$37.71 |