| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95886 |
|
1,279 |
1,012 |
$99K |
| 95912 |
|
540 |
490 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
889 |
873 |
$30K |
| 95911 |
|
233 |
213 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
506 |
498 |
$13K |
| 95910 |
|
118 |
111 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
118 |
117 |
$6K |
| 93890 |
|
36 |
30 |
$2K |
| 93886 |
|
13 |
13 |
$917.84 |
| 92546 |
|
12 |
12 |
$417.36 |
| 92540 |
|
12 |
12 |
$359.94 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
25 |
13 |
$324.49 |
| 92537 |
|
12 |
12 |
$128.72 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
24 |
12 |
$3.95 |