| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
39,030 |
37,078 |
$2.29M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,027 |
16,456 |
$711K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,886 |
2,885 |
$202K |
| 64483 |
|
1,962 |
1,942 |
$195K |
| 64484 |
|
1,903 |
1,883 |
$99K |
| 77002 |
|
1,828 |
1,694 |
$69K |
| 62321 |
|
589 |
583 |
$65K |
| 62323 |
|
433 |
432 |
$53K |
| 20610 |
|
1,811 |
1,671 |
$52K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
4,598 |
4,416 |
$20K |
| 64493 |
|
136 |
136 |
$9K |
| 64494 |
|
146 |
146 |
$6K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,366 |
1,322 |
$5K |
| 20553 |
|
144 |
141 |
$3K |
| 64495 |
|
43 |
43 |
$2K |
| 27096 |
|
30 |
30 |
$2K |
| 95913 |
|
14 |
14 |
$1K |
| 95886 |
|
14 |
14 |
$540.49 |
| 99442 |
|
14 |
14 |
$510.12 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
165 |
162 |
$458.64 |
| Q9965 |
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
18 |
14 |
$2.32 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
38 |
38 |
$1.74 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
18 |
18 |
$0.33 |