| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,900 |
5,754 |
$91K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
397 |
303 |
$10K |
| Q4177 |
Floweramnioflo, 0.1 cc |
15 |
13 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
48 |
40 |
$2K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
79 |
60 |
$117.84 |
| 99442 |
|
17 |
14 |
$76.88 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
28 |
25 |
$46.21 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
34 |
28 |
$2.99 |