| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
171 |
170 |
$19K |
| 99222 |
Initial hospital care, per day, moderate complexity |
181 |
179 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
82 |
82 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
75 |
75 |
$7K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
144 |
143 |
$6K |
| 99205 |
Prolong outpt/office vis |
25 |
25 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
77 |
74 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$469.72 |