| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,925 |
3,757 |
$128K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,386 |
4,209 |
$82K |
| 64483 |
|
521 |
479 |
$16K |
| 64484 |
|
118 |
117 |
$4K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,476 |
1,351 |
$3K |
| 80305 |
|
728 |
720 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
47 |
46 |
$760.64 |
| 99406 |
|
60 |
60 |
$170.85 |
| 20611 |
|
15 |
14 |
$125.26 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
753 |
689 |
$39.40 |
| 99080 |
|
31 |
30 |
$0.00 |