| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,109 |
1,038 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
352 |
327 |
$26K |
| 99215 |
Prolong outpt/office vis |
100 |
95 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
51 |
51 |
$6K |
| 64483 |
|
25 |
24 |
$4K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
369 |
332 |
$475.51 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
226 |
211 |
$68.60 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
18 |
15 |
$2.21 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
43 |
38 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
43 |
39 |
$0.00 |