| Code | Description | Claims | Beneficiaries | Total Paid |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
148 |
146 |
$46K |
| 95811 |
|
109 |
108 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
926 |
812 |
$26K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
100 |
100 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
118 |
104 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$895.70 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$514.23 |