| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,647 |
20,377 |
$893K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,825 |
12,178 |
$678K |
| 64483 |
|
1,753 |
1,172 |
$218K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,040 |
960 |
$89K |
| 20611 |
|
1,079 |
915 |
$69K |
| 20553 |
|
1,435 |
1,198 |
$47K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
6,232 |
5,164 |
$44K |
| 76942 |
|
1,203 |
998 |
$36K |
| 27096 |
|
210 |
143 |
$20K |
| 77002 |
|
270 |
209 |
$15K |
| 64484 |
|
312 |
193 |
$13K |
| 20610 |
|
231 |
167 |
$10K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
795 |
508 |
$3K |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
2,917 |
2,140 |
$2K |
| 64635 |
|
19 |
12 |
$2K |
| 64636 |
|
19 |
12 |
$1K |
| 80305 |
|
716 |
549 |
$803.42 |
| A4209 |
Syringe with needle, sterile 5 cc or greater, each |
3,497 |
2,449 |
$744.32 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
125 |
108 |
$370.38 |
| A4215 |
Needle, sterile, any size, each |
5,698 |
4,166 |
$64.54 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
45 |
36 |
$39.19 |
| A4550 |
Surgical trays |
4,007 |
2,685 |
$7.50 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
26 |
25 |
$4.64 |