| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
455 |
436 |
$27K |
| 27096 |
|
20 |
16 |
$20K |
| J2704 |
Injection, propofol, 10 mg |
1,574 |
1,128 |
$19K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
551 |
484 |
$18K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
990 |
743 |
$18K |
| 64483 |
|
12 |
12 |
$17K |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
1,334 |
653 |
$12K |
| 20610 |
|
45 |
36 |
$11K |
| 77002 |
|
137 |
92 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
77 |
74 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
33 |
29 |
$4K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
174 |
133 |
$3K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
166 |
134 |
$2K |
| 76942 |
|
26 |
24 |
$1K |
| 81025 |
|
96 |
80 |
$1K |
| 0250 |
|
73 |
12 |
$0.00 |