| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
1,972 |
1,966 |
$1.75M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,380 |
2,262 |
$331K |
| 00840 |
|
669 |
665 |
$255K |
| 01922 |
|
631 |
594 |
$188K |
| 00731 |
|
1,011 |
992 |
$126K |
| 01961 |
|
242 |
242 |
$82K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
795 |
770 |
$65K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
122 |
119 |
$32K |
| 00813 |
|
176 |
176 |
$26K |
| 00400 |
|
84 |
74 |
$15K |
| 99442 |
|
190 |
161 |
$14K |
| 00790 |
|
26 |
26 |
$11K |
| 36620 |
|
176 |
172 |
$8K |
| 00811 |
|
52 |
52 |
$6K |
| 01400 |
|
14 |
13 |
$4K |
| 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) |
171 |
166 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 76942 |
|
52 |
51 |
$1K |
| 01992 |
|
13 |
13 |
$1K |
| 20553 |
|
12 |
12 |
$659.92 |
| 99441 |
|
14 |
13 |
$410.39 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
12 |
12 |
$64.41 |
| 99140 |
|
406 |
383 |
$44.36 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
12 |
$16.09 |
| J3490 |
Unclassified drugs |
39 |
36 |
$10.13 |
| 99100 |
|
39 |
36 |
$0.00 |
| A4550 |
Surgical trays |
29 |
28 |
$0.00 |