| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,572 |
17,840 |
$570K |
| 99215 |
Prolong outpt/office vis |
3,482 |
2,769 |
$149K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,994 |
3,723 |
$135K |
| 80305 |
|
22,922 |
19,986 |
$104K |
| 99205 |
Prolong outpt/office vis |
405 |
353 |
$41K |
| 62323 |
|
79 |
56 |
$5K |
| 20610 |
|
78 |
41 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$3K |
| 99406 |
|
477 |
403 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
571 |
402 |
$820.76 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
762 |
529 |
$417.40 |
| 99408 |
|
135 |
121 |
$41.51 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
84 |
63 |
$0.00 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
18 |
15 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
123 |
95 |
$0.00 |
| J3490 |
Unclassified drugs |
124 |
60 |
$0.00 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
16 |
16 |
$0.00 |