| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,284 |
4,952 |
$104K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,494 |
3,409 |
$75K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
197 |
180 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
371 |
332 |
$6K |
| 73630 |
|
491 |
270 |
$3K |
| 96127 |
|
519 |
237 |
$3K |
| 64483 |
|
24 |
14 |
$1K |
| 20611 |
|
209 |
121 |
$1K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
274 |
204 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
322 |
254 |
$619.99 |
| 76942 |
|
123 |
39 |
$511.56 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
18 |
12 |
$460.77 |
| 72100 |
|
29 |
24 |
$326.54 |
| 73610 |
|
33 |
25 |
$307.74 |
| 20552 |
|
26 |
13 |
$114.96 |
| 20553 |
|
130 |
39 |
$79.45 |
| 73562 |
|
17 |
12 |
$44.50 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
157 |
50 |
$26.46 |
| Q9965 |
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
19 |
14 |
$4.71 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
22 |
13 |
$0.66 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
364 |
242 |
$0.06 |