| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,882 |
6,687 |
$913.19 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,189 |
1,900 |
$152.04 |
| 80305 |
|
9,152 |
7,704 |
$151.76 |
| 96103 |
|
101 |
91 |
$40.84 |
| J3300 |
Injection, triamcinolone acetonide, preservative free, 1 mg |
76 |
55 |
$17.55 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
338 |
279 |
$15.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
229 |
210 |
$13.14 |
| 81025 |
|
64 |
48 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
54 |
48 |
$0.00 |
| 64495 |
|
31 |
25 |
$0.00 |
| 96136 |
|
21 |
16 |
$0.00 |
| 64493 |
|
31 |
25 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
74 |
57 |
$0.00 |
| 64494 |
|
31 |
25 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
45 |
41 |
$0.00 |