| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,506 |
7,080 |
$144K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,662 |
1,459 |
$19K |
| 62323 |
|
412 |
394 |
$15K |
| 64493 |
|
141 |
135 |
$7K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,161 |
1,102 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
122 |
118 |
$2K |
| 80305 |
|
2,495 |
2,438 |
$2K |
| 99442 |
|
176 |
126 |
$750.79 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$550.25 |
| 64490 |
|
16 |
14 |
$483.54 |
| 64494 |
|
128 |
122 |
$368.87 |
| 27096 |
|
15 |
15 |
$324.29 |
| 64495 |
|
97 |
93 |
$296.82 |
| 99441 |
|
149 |
79 |
$259.79 |
| 96127 |
|
1,751 |
1,599 |
$45.54 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
29 |
28 |
$19.92 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
527 |
507 |
$17.38 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
106 |
104 |
$12.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
540 |
511 |
$4.90 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
96 |
93 |
$3.04 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
578 |
538 |
$0.46 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
3,492 |
3,261 |
$0.00 |
| 64491 |
|
16 |
14 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,543 |
1,426 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
1,222 |
1,151 |
$0.00 |
| 64492 |
|
16 |
14 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
22 |
16 |
$0.00 |