| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,206 |
7,677 |
$264K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,772 |
1,226 |
$98K |
| 62323 |
|
517 |
304 |
$39K |
| 20611 |
|
673 |
339 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
597 |
583 |
$19K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
2,493 |
2,009 |
$14K |
| 80305 |
|
1,736 |
1,219 |
$8K |
| 27095 |
|
50 |
41 |
$4K |
| 64493 |
|
20 |
12 |
$561.29 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
704 |
337 |
$463.25 |
| 64494 |
|
20 |
12 |
$190.77 |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
256 |
86 |
$137.53 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
2,392 |
1,592 |
$58.19 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
131 |
41 |
$5.70 |