| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 64483 |
|
1,022 |
677 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,442 |
1,233 |
$35K |
| 64493 |
|
603 |
406 |
$29K |
| 64494 |
|
614 |
418 |
$7K |
| 64484 |
|
974 |
641 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
87 |
70 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
62 |
52 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,098 |
906 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
2,434 |
1,334 |
$1K |
| 64479 |
|
18 |
12 |
$292.86 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
126 |
65 |
$0.28 |
| 64495 |
|
60 |
38 |
$0.00 |