| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
37,716 |
29,678 |
$1.69M |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
3,184 |
1,413 |
$795K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,230 |
18,540 |
$760K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,189 |
4,195 |
$398K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16,167 |
10,163 |
$200K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
1,797 |
1,452 |
$196K |
| 95886 |
|
2,212 |
1,676 |
$161K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,065 |
1,962 |
$125K |
| 95812 |
|
1,101 |
907 |
$108K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
453 |
371 |
$99K |
| 64615 |
|
1,259 |
1,015 |
$79K |
| 99442 |
|
2,577 |
1,491 |
$61K |
| 95910 |
|
376 |
313 |
$38K |
| 99215 |
Prolong outpt/office vis |
833 |
652 |
$29K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,846 |
1,243 |
$29K |
| 99441 |
|
2,404 |
1,261 |
$27K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
102 |
82 |
$19K |
| 95909 |
|
125 |
106 |
$11K |
| 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) |
2,024 |
1,690 |
$10K |
| 95811 |
|
31 |
24 |
$7K |
| 95911 |
|
45 |
36 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
87 |
80 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
983 |
743 |
$4K |
| 95813 |
|
34 |
28 |
$3K |
| 72141 |
|
15 |
12 |
$2K |
| 95885 |
|
38 |
24 |
$1K |
| 99443 |
|
66 |
60 |
$1K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
163 |
126 |
$1K |
| 99490 |
Ccm add 20min |
154 |
126 |
$566.15 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,876 |
1,266 |
$544.73 |
| 92133 |
|
44 |
39 |
$274.01 |
| 92250 |
|
31 |
26 |
$244.30 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
56 |
37 |
$232.61 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
40 |
26 |
$11.54 |
| 95816 |
|
15 |
12 |
$0.00 |