| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,654 |
5,789 |
$87K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
118 |
90 |
$3K |
| 62323 |
|
13 |
12 |
$458.12 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
592 |
443 |
$58.67 |
| 20610 |
|
68 |
28 |
$19.78 |
| J2704 |
Injection, propofol, 10 mg |
165 |
128 |
$3.19 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
100 |
78 |
$2.96 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
22 |
12 |
$0.14 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
64 |
51 |
$0.06 |
| 80305 |
|
81 |
67 |
$0.00 |
| 99152 |
|
27 |
24 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
94 |
81 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
27 |
13 |
$0.00 |