| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
1,172 |
1,119 |
$96K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
460 |
460 |
$60K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
225 |
220 |
$15K |
| 99223 |
Prolong inpt eval add15 m |
247 |
238 |
$10K |
| 20610 |
|
57 |
53 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
339 |
141 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
140 |
130 |
$1K |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
14 |
14 |
$436.84 |
| A6204 |
Composite dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing |
57 |
55 |
$380.16 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
16 |
16 |
$267.26 |