| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
586 |
577 |
$27K |
| 64483 |
|
30 |
30 |
$7K |
| 72100 |
|
114 |
82 |
$2K |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
29 |
29 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
14 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
34 |
33 |
$400.12 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
31 |
30 |
$19.44 |