| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0475 |
Injection, baclofen, 10 mg |
5,023 |
3,067 |
$2.09M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,449 |
6,082 |
$209K |
| 62370 |
|
3,656 |
2,475 |
$128K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,371 |
2,025 |
$82K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,615 |
2,651 |
$57K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
765 |
678 |
$50K |
| 64483 |
|
343 |
260 |
$37K |
| 62369 |
|
1,027 |
558 |
$21K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,296 |
549 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
327 |
271 |
$16K |
| 99205 |
Prolong outpt/office vis |
88 |
69 |
$7K |
| 99215 |
Prolong outpt/office vis |
173 |
136 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,202 |
924 |
$6K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
761 |
376 |
$6K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
749 |
583 |
$3K |
| 95990 |
|
168 |
65 |
$2K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
105 |
100 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
101 |
92 |
$1K |
| 62368 |
|
77 |
43 |
$924.32 |
| 70450 |
Computed tomography, head or brain; without contrast material |
97 |
61 |
$822.92 |
| 62362 |
|
18 |
13 |
$801.55 |
| 70496 |
|
72 |
69 |
$531.00 |
| 69990 |
|
46 |
38 |
$470.68 |
| 99221 |
|
63 |
62 |
$424.90 |
| 99152 |
|
33 |
24 |
$257.04 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,043 |
728 |
$105.72 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
124 |
84 |
$39.17 |
| 22845 |
|
36 |
25 |
$0.00 |
| A4550 |
Surgical trays |
152 |
130 |
$0.00 |
| 22551 |
|
42 |
27 |
$0.00 |
| 36224 |
|
16 |
12 |
$0.00 |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
12 |
12 |
$0.00 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
15 |
13 |
$0.00 |
| 99243 |
|
236 |
182 |
$0.00 |
| 70498 |
|
40 |
40 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$0.00 |