| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,193 |
2,458 |
$123K |
| 20611 |
|
885 |
488 |
$35K |
| 76881 |
|
978 |
593 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
490 |
452 |
$30K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
216 |
202 |
$20K |
| 76140 |
|
493 |
441 |
$8K |
| J3490 |
Unclassified drugs |
1,003 |
678 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
82 |
77 |
$5K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
905 |
806 |
$4K |
| 72100 |
|
46 |
42 |
$780.45 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
12 |
12 |
$5.94 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
533 |
314 |
$0.98 |
| A4550 |
Surgical trays |
1,062 |
639 |
$0.00 |
| 99024 |
|
64 |
52 |
$0.00 |