| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,593 |
1,503 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
215 |
195 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
100 |
94 |
$1K |
| 99443 |
|
15 |
12 |
$974.59 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
215 |
211 |
$920.53 |
| 62323 |
|
14 |
13 |
$707.23 |
| 72275 |
|
25 |
24 |
$654.35 |
| 99222 |
Initial hospital care, per day, moderate complexity |
16 |
16 |
$589.65 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
214 |
209 |
$283.78 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
55 |
52 |
$165.95 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
74 |
71 |
$4.00 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
25 |
24 |
$0.35 |