| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,984 |
3,693 |
$85K |
| 99215 |
Prolong outpt/office vis |
309 |
286 |
$6K |
| 99205 |
Prolong outpt/office vis |
94 |
91 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
129 |
25 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
36 |
16 |
$779.35 |
| 64483 |
|
14 |
14 |
$7.14 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
14 |
14 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
14 |
14 |
$0.00 |