| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,009 |
5,473 |
$385K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,224 |
5,513 |
$261K |
| 80305 |
|
3,407 |
2,672 |
$18K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,504 |
1,753 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
199 |
166 |
$10K |
| 62323 |
|
18 |
14 |
$3K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
125 |
111 |
$3K |
| J3490 |
Unclassified drugs |
930 |
609 |
$1K |
| 64450 |
|
206 |
91 |
$980.14 |
| 99050 |
|
117 |
87 |
$953.01 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
225 |
168 |
$358.18 |
| 20552 |
|
15 |
12 |
$294.29 |
| 99072 |
|
141 |
109 |
$15.00 |