| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,499 |
1,341 |
$76K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
705 |
629 |
$48K |
| 64483 |
|
178 |
149 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
325 |
297 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
99 |
94 |
$11K |
| 72110 |
|
335 |
299 |
$10K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,333 |
2,074 |
$3K |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
2,960 |
2,529 |
$2K |
| 27096 |
|
20 |
13 |
$2K |
| 62323 |
|
15 |
12 |
$2K |