| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,315 |
2,809 |
$93K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
238 |
222 |
$70K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
585 |
499 |
$38K |
| 95811 |
|
29 |
27 |
$8K |
| 99223 |
Prolong inpt eval add15 m |
128 |
118 |
$4K |
| 94060 |
|
304 |
238 |
$3K |
| 94729 |
|
304 |
238 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
25 |
16 |
$676.98 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
109 |
75 |
$585.82 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
27 |
24 |
$570.38 |
| Q2036 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) |
42 |
37 |
$267.28 |
| 94010 |
|
13 |
12 |
$209.12 |
| 71046 |
Radiologic examination, chest; 2 views |
25 |
24 |
$120.41 |