| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 64483 |
|
4,718 |
3,279 |
$363K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,764 |
8,199 |
$248K |
| 64484 |
|
4,648 |
3,225 |
$181K |
| 95886 |
|
2,505 |
1,754 |
$121K |
| 95910 |
|
1,062 |
892 |
$79K |
| 62321 |
|
912 |
677 |
$68K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
10,930 |
7,584 |
$58K |
| 95911 |
|
565 |
492 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,510 |
1,136 |
$34K |
| 20611 |
|
947 |
637 |
$27K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
552 |
455 |
$25K |
| 64493 |
|
335 |
226 |
$9K |
| 77002 |
|
267 |
242 |
$5K |
| 64494 |
|
333 |
225 |
$4K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,083 |
1,477 |
$4K |
| 64495 |
|
315 |
210 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
389 |
242 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
43 |
40 |
$2K |
| J3490 |
Unclassified drugs |
4,019 |
2,436 |
$1K |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
2,048 |
1,081 |
$816.78 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
288 |
179 |
$122.00 |
| 1125F |
|
3,638 |
2,930 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
3,136 |
2,568 |
$0.00 |
| 1036F |
|
236 |
235 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
1,066 |
1,048 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,373 |
1,350 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
2,492 |
2,085 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
180 |
166 |
$0.00 |