| Code | Description | Claims | Beneficiaries | Total Paid |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
13,408 |
11,660 |
$2.41M |
| 01922 |
|
5,621 |
4,969 |
$1.26M |
| 00635 |
|
957 |
761 |
$165K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,534 |
2,438 |
$116K |
| 00126 |
|
707 |
672 |
$77K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,095 |
645 |
$51K |
| 99233 |
Prolong inpt eval add15 m |
817 |
372 |
$47K |
| 00920 |
|
221 |
179 |
$41K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
385 |
378 |
$27K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
120 |
58 |
$24K |
| 00140 |
|
107 |
94 |
$19K |
| 99140 |
|
267 |
237 |
$18K |
| 00731 |
|
81 |
73 |
$14K |
| 00300 |
|
52 |
51 |
$9K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
103 |
96 |
$8K |
| 99205 |
Prolong outpt/office vis |
55 |
53 |
$5K |
| 00840 |
|
15 |
15 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
35 |
35 |
$5K |
| 64450 |
|
182 |
140 |
$5K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
101 |
97 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
77 |
51 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31 |
31 |
$885.09 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
25 |
25 |
$786.02 |
| 99100 |
|
13 |
12 |
$168.96 |
| 97811 |
|
18 |
12 |
$70.00 |