| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,889 |
1,611 |
$78K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
119 |
113 |
$4K |
| J3490 |
Unclassified drugs |
533 |
403 |
$4K |
| 99152 |
|
88 |
77 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
49 |
47 |
$2K |
| 76942 |
|
15 |
13 |
$541.08 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
53 |
53 |
$494.32 |
| 80305 |
|
32 |
32 |
$209.29 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
85 |
67 |
$47.44 |
| 99153 |
Mod sedat endo service >5yrs |
17 |
13 |
$46.92 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
79 |
75 |
$0.00 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
217 |
181 |
$0.00 |