| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
8,283 |
8,165 |
$438K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,097 |
7,681 |
$339K |
| 99205 |
Prolong outpt/office vis |
4,133 |
4,107 |
$248K |
| 99245 |
|
1,538 |
1,527 |
$98K |
| 95819 |
|
2,215 |
2,195 |
$62K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
1,170 |
582 |
$46K |
| 95816 |
|
507 |
493 |
$41K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
81 |
43 |
$13K |
| 96130 |
|
52 |
52 |
$169.32 |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
17 |
16 |
$19.68 |
| A4649 |
Surgical supply; miscellaneous |
16 |
15 |
$0.00 |