| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,147 |
2,052 |
$96K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,455 |
2,351 |
$80K |
| 62323 |
|
1,010 |
927 |
$69K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
913 |
871 |
$68K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
2,000 |
1,743 |
$11K |
| 72110 |
|
269 |
253 |
$6K |
| A4550 |
Surgical trays |
1,100 |
1,059 |
$5K |
| 72050 |
|
145 |
135 |
$3K |
| 72120 |
|
90 |
83 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
28 |
27 |
$2K |
| 62321 |
|
31 |
25 |
$2K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
240 |
84 |
$2K |
| 64483 |
|
19 |
15 |
$1K |
| 95886 |
|
13 |
13 |
$1K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| Q9965 |
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
2,336 |
2,076 |
$1K |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$962.25 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$898.26 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
666 |
630 |
$334.22 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
15 |
15 |
$308.60 |
| 82962 |
|
70 |
64 |
$68.21 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
141 |
123 |
$43.52 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
58 |
28 |
$14.68 |
| G9500 |
Radiation exposure indices documented in final report for procedure using fluoroscopy |
44 |
40 |
$0.00 |