| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,172 |
9,127 |
$516K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
571 |
397 |
$16K |
| 99215 |
Prolong outpt/office vis |
83 |
76 |
$6K |
| 99205 |
Prolong outpt/office vis |
29 |
25 |
$3K |
| J3490 |
Unclassified drugs |
376 |
253 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
199 |
151 |
$947.34 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
63 |
56 |
$774.07 |
| A4930 |
Gloves, sterile, per pair |
154 |
110 |
$728.20 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
108 |
88 |
$653.77 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
50 |
44 |
$36.11 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
182 |
157 |
$33.42 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
143 |
107 |
$12.92 |
| A4657 |
Syringe, with or without needle, each |
224 |
153 |
$0.00 |