| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95886 |
|
2,049 |
1,819 |
$87K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,525 |
2,320 |
$75K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
136 |
77 |
$34K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
550 |
504 |
$28K |
| 95811 |
|
296 |
289 |
$22K |
| 95911 |
|
204 |
185 |
$17K |
| 64616 |
|
298 |
261 |
$14K |
| 95910 |
|
184 |
172 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
397 |
373 |
$9K |
| 64644 |
|
253 |
203 |
$8K |
| 95874 |
|
972 |
774 |
$8K |
| 99205 |
Prolong outpt/office vis |
124 |
116 |
$7K |
| 64612 |
|
56 |
50 |
$4K |
| 99215 |
Prolong outpt/office vis |
70 |
65 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
68 |
55 |
$3K |
| 95941 |
|
12 |
12 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
80 |
53 |
$2K |
| 95861 |
|
25 |
24 |
$1K |
| 95938 |
|
28 |
27 |
$311.55 |
| G0399 |
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation |
65 |
41 |
$296.52 |
| 95819 |
|
16 |
14 |
$291.78 |