| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,900 |
5,617 |
$83K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,804 |
2,685 |
$30K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
267 |
117 |
$3K |
| 64493 |
|
59 |
38 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
83 |
37 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
66 |
41 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
220 |
57 |
$1K |
| 95886 |
|
40 |
12 |
$773.62 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
18 |
$160.61 |
| 80305 |
|
173 |
157 |
$49.62 |
| 64495 |
|
59 |
38 |
$33.24 |
| 64494 |
|
59 |
38 |
$32.80 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
31 |
24 |
$10.15 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
16 |
13 |
$3.41 |