| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,128 |
5,106 |
$472K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,909 |
1,909 |
$310K |
| 95886 |
|
415 |
402 |
$121K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
66 |
56 |
$41K |
| 99205 |
Prolong outpt/office vis |
125 |
125 |
$23K |
| 95912 |
|
29 |
29 |
$12K |
| 95911 |
|
12 |
12 |
$4K |
| 95819 |
|
12 |
12 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
35 |
12 |
$3K |
| 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) |
203 |
203 |
$2K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| 64615 |
|
12 |
12 |
$1K |