| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
492 |
478 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$390.16 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
15 |
15 |
$27.52 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
15 |
13 |
$16.29 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
53 |
26 |
$0.00 |