| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,755 |
16,302 |
$942K |
| J0475 |
Injection, baclofen, 10 mg |
529 |
453 |
$107K |
| J3490 |
Unclassified drugs |
1,468 |
974 |
$85K |
| 62370 |
|
1,189 |
1,048 |
$42K |
| 76942 |
|
1,250 |
1,099 |
$19K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
338 |
283 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
220 |
213 |
$7K |
| 99484 |
|
320 |
308 |
$5K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
25 |
25 |
$3K |
| 99215 |
Prolong outpt/office vis |
36 |
35 |
$2K |
| 64483 |
|
13 |
12 |
$2K |
| 99152 |
|
81 |
67 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
31 |
31 |
$1K |
| 62323 |
|
13 |
13 |
$845.32 |
| J0735 |
Injection, clonidine hydrochloride, 1 mg |
14 |
12 |
$663.64 |
| 62367 |
|
29 |
25 |
$589.82 |
| 62368 |
|
15 |
12 |
$470.53 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
79 |
74 |
$364.31 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
73 |
62 |
$101.26 |
| 99072 |
|
98 |
84 |
$33.60 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
100 |
92 |
$22.68 |