| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,163 |
2,631 |
$132K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
240 |
197 |
$5K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
914 |
759 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$2K |
| 99152 |
|
150 |
119 |
$2K |
| J2704 |
Injection, propofol, 10 mg |
165 |
130 |
$49.66 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
357 |
291 |
$15.58 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
130 |
100 |
$7.67 |
| 99072 |
|
134 |
111 |
$0.00 |
| 1123F |
|
16 |
13 |
$0.00 |