| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,284 |
1,188 |
$88K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,877 |
1,742 |
$87K |
| 76942 |
|
1,266 |
990 |
$50K |
| 20550 |
|
413 |
396 |
$35K |
| 20553 |
|
383 |
302 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
76 |
76 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
35 |
35 |
$3K |
| 20552 |
|
88 |
74 |
$3K |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
304 |
283 |
$1K |
| 99243 |
|
15 |
15 |
$958.20 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
499 |
462 |
$623.99 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
13 |
13 |
$1.00 |