| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,629 |
4,311 |
$81K |
| 95813 |
|
500 |
474 |
$80K |
| 95886 |
|
1,165 |
1,099 |
$67K |
| 95913 |
|
1,117 |
1,050 |
$53K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
185 |
176 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,067 |
1,015 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
155 |
153 |
$576.20 |
| 99442 |
|
44 |
43 |
$304.98 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$298.10 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$244.55 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
84 |
79 |
$127.34 |
| 72141 |
|
13 |
13 |
$74.39 |
| 99233 |
Prolong inpt eval add15 m |
14 |
14 |
$59.95 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
41 |
38 |
$0.00 |
| 99439 |
|
29 |
26 |
$0.00 |
| 99483 |
Prolong outpt/office vis |
13 |
13 |
$0.00 |
| 99490 |
Ccm add 20min |
45 |
42 |
$0.00 |