| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
446 |
435 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
154 |
153 |
$4K |
| 64635 |
|
12 |
12 |
$3K |
| 64636 |
|
12 |
12 |
$1K |
| 27096 |
|
36 |
36 |
$974.14 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
150 |
142 |
$944.83 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
121 |
119 |
$741.30 |
| 99358 |
Prolong nursin fac eval 15m |
28 |
28 |
$258.98 |
| 99490 |
Ccm add 20min |
56 |
56 |
$239.92 |
| 64493 |
|
13 |
13 |
$86.64 |
| 64494 |
|
13 |
13 |
$44.32 |
| 64495 |
|
13 |
13 |
$44.32 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
431 |
428 |
$16.63 |
| G2058 |
Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). |
54 |
54 |
$0.00 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
12 |
12 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
590 |
557 |
$0.00 |