| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,190 |
2,096 |
$103K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
666 |
642 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
116 |
114 |
$10K |
| 99215 |
Prolong outpt/office vis |
71 |
70 |
$4K |
| 73630 |
|
217 |
179 |
$3K |
| 73562 |
|
160 |
145 |
$2K |
| 20610 |
|
76 |
68 |
$2K |
| 95886 |
|
16 |
12 |
$965.03 |
| 62323 |
|
15 |
15 |
$642.98 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
89 |
86 |
$453.52 |
| 73030 |
|
46 |
40 |
$428.33 |
| 73564 |
|
19 |
12 |
$420.21 |
| 20611 |
|
13 |
12 |
$411.77 |
| 73130 |
|
14 |
13 |
$289.32 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
75 |
68 |
$133.30 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
14 |
12 |
$2.48 |