| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
4,848 |
405 |
$1.25M |
| J0475 |
Injection, baclofen, 10 mg |
3,480 |
2,373 |
$1.00M |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
3,859 |
538 |
$753K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
4,324 |
765 |
$599K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,209 |
13,236 |
$578K |
| 95816 |
|
3,249 |
3,064 |
$365K |
| 99205 |
Prolong outpt/office vis |
1,741 |
1,613 |
$203K |
| 95822 |
|
1,598 |
1,425 |
$144K |
| 62369 |
|
3,505 |
2,377 |
$108K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,021 |
1,001 |
$108K |
| 95819 |
|
811 |
773 |
$82K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,294 |
473 |
$71K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,780 |
2,531 |
$67K |
| 99223 |
Prolong inpt eval add15 m |
319 |
296 |
$33K |
| 99292 |
|
239 |
213 |
$12K |
| 95970 |
|
276 |
241 |
$5K |
| 99151 |
|
13 |
13 |
$194.35 |