| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
12,709 |
12,309 |
$10.68M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,832 |
6,028 |
$140K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
898 |
801 |
$31K |
| 64483 |
|
259 |
224 |
$18K |
| 00104 |
|
295 |
130 |
$10K |
| 99152 |
|
1,029 |
869 |
$9K |
| 00920 |
|
95 |
69 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
248 |
225 |
$4K |
| 00731 |
|
77 |
47 |
$3K |
| 00813 |
|
36 |
27 |
$2K |
| 01922 |
|
14 |
12 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
13 |
$786.79 |
| 77002 |
|
33 |
26 |
$632.51 |
| 64493 |
|
15 |
12 |
$527.74 |
| 36620 |
|
13 |
13 |
$248.71 |
| 64495 |
|
15 |
12 |
$242.25 |
| 64494 |
|
15 |
12 |
$241.47 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
872 |
710 |
$201.95 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
593 |
472 |
$66.84 |