| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,894 |
3,314 |
$182K |
| 99205 |
Prolong outpt/office vis |
227 |
208 |
$22K |
| 95886 |
|
224 |
196 |
$18K |
| 95816 |
|
142 |
120 |
$17K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
367 |
325 |
$15K |
| 99215 |
Prolong outpt/office vis |
92 |
75 |
$6K |
| 95720 |
|
39 |
12 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
102 |
56 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
91 |
81 |
$3K |
| 95708 |
|
19 |
12 |
$3K |
| 95819 |
|
13 |
12 |
$2K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
35 |
26 |
$2K |
| 95700 |
|
12 |
12 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
59 |
48 |
$1K |
| 99443 |
|
19 |
12 |
$287.62 |