| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,216 |
1,058 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,590 |
1,381 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
250 |
227 |
$16K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
402 |
326 |
$2K |
| 80306 |
|
165 |
149 |
$883.60 |
| J3490 |
Unclassified drugs |
221 |
176 |
$767.55 |
| 99152 |
|
13 |
12 |
$296.64 |
| 62370 |
|
13 |
12 |
$147.04 |
| 77003 |
|
13 |
12 |
$129.43 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
1,019 |
858 |
$17.78 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
50 |
40 |
$10.05 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
13 |
$2.14 |