| Code | Description | Claims | Bene. Records | Total Paid |
| 62323 |
|
203 |
190 |
$34K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
63 |
62 |
$6K |
| 62321 |
|
39 |
37 |
$6K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
499 |
456 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27 |
27 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$969.24 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
498 |
455 |
$76.08 |