| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
682 |
682 |
$69K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
752 |
723 |
$59K |
| 62323 |
|
180 |
178 |
$22K |
| 64483 |
|
41 |
41 |
$7K |
| 99205 |
Prolong outpt/office vis |
30 |
30 |
$4K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
214 |
210 |
$2K |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
120 |
119 |
$809.75 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
53 |
53 |
$56.66 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
38 |
38 |
$13.01 |