| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,477 |
1,310 |
$137K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
121 |
110 |
$9K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
334 |
301 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$643.83 |
| 99490 |
Ccm add 20min |
36 |
36 |
$551.43 |
| 99441 |
|
25 |
24 |
$522.27 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
813 |
685 |
$413.72 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
19 |
15 |
$124.51 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
58 |
34 |
$10.98 |