| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,488 |
4,329 |
$108K |
| 95886 |
|
522 |
493 |
$27K |
| 95912 |
|
369 |
345 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
311 |
309 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
209 |
209 |
$4K |
| 93892 |
|
95 |
94 |
$4K |
| 93890 |
|
94 |
93 |
$3K |
| 93886 |
|
94 |
93 |
$3K |
| 95816 |
|
38 |
38 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
68 |
68 |
$2K |
| 95913 |
|
41 |
41 |
$2K |
| 64483 |
|
13 |
13 |
$2K |
| 92652 |
|
50 |
50 |
$1K |
| 93880 |
|
43 |
43 |
$1K |
| 92546 |
|
49 |
49 |
$1K |
| 92540 |
|
50 |
49 |
$1K |
| 92585 |
|
14 |
12 |
$745.42 |
| 64484 |
|
17 |
13 |
$685.02 |
| 92548 |
|
36 |
36 |
$508.44 |
| 95926 |
|
13 |
13 |
$444.93 |
| 92537 |
|
49 |
49 |
$418.69 |
| 92547 |
|
49 |
49 |
$273.81 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
48 |
37 |
$48.33 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
44 |
33 |
$0.00 |