| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
87 |
77 |
$97K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,771 |
1,635 |
$60K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,220 |
1,150 |
$28K |
| 20553 |
|
24 |
24 |
$676.87 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
56 |
13 |
$603.06 |
| 99223 |
Prolong inpt eval add15 m |
18 |
13 |
$484.08 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
12 |
12 |
$294.55 |
| J2800 |
Injection, methocarbamol, up to 10 ml |
38 |
37 |
$190.76 |
| 99442 |
|
14 |
14 |
$158.87 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
38 |
37 |
$3.49 |