| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,877 |
2,744 |
$31K |
| 99152 |
|
2,255 |
1,850 |
$11K |
| 64483 |
|
316 |
268 |
$9K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
2,130 |
1,772 |
$8K |
| 93923 |
|
206 |
124 |
$6K |
| J2704 |
Injection, propofol, 10 mg |
2,076 |
1,720 |
$6K |
| 95923 |
|
120 |
119 |
$4K |
| 72275 |
|
529 |
444 |
$4K |
| 64493 |
|
58 |
48 |
$4K |
| 76942 |
|
260 |
237 |
$3K |
| 62323 |
|
49 |
49 |
$3K |
| 64484 |
|
262 |
224 |
$3K |
| 62370 |
|
123 |
122 |
$2K |
| 64635 |
|
17 |
13 |
$2K |
| 64494 |
|
58 |
48 |
$2K |
| 64636 |
|
17 |
13 |
$2K |
| 64495 |
|
55 |
46 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$952.53 |
| 95921 |
|
123 |
122 |
$443.45 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
32 |
32 |
$189.81 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,235 |
1,033 |
$167.65 |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
424 |
424 |
$157.95 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
1,201 |
1,047 |
$150.78 |
| 93040 |
|
111 |
110 |
$86.58 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,225 |
1,026 |
$7.42 |
| G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
42 |
42 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
32 |
32 |
$0.00 |
| J7999 |
Compounded drug, not otherwise classified |
31 |
28 |
$0.00 |