| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
291 |
276 |
$48K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
963 |
777 |
$48K |
| 99243 |
|
24 |
24 |
$3K |
| 73110 |
|
55 |
40 |
$2K |
| 73130 |
|
50 |
40 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
252 |
185 |
$829.38 |
| J2150 |
Injection, mannitol, 25% in 50 ml |
103 |
72 |
$178.99 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
145 |
105 |
$0.60 |