| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,007 |
2,432 |
$115K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
229 |
215 |
$14K |
| A4550 |
Surgical trays |
476 |
286 |
$1K |
| 99441 |
|
15 |
14 |
$454.75 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
49 |
44 |
$298.57 |
| 99417 |
Prolong home eval add 15m |
12 |
12 |
$157.31 |
| J3490 |
Unclassified drugs |
340 |
166 |
$155.73 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
457 |
335 |
$99.25 |
| A4215 |
Needle, sterile, any size, each |
271 |
164 |
$15.36 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
20 |
12 |
$4.59 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
222 |
122 |
$0.12 |