| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 64483 |
|
197 |
191 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
308 |
298 |
$8K |
| 64484 |
|
197 |
191 |
$3K |
| 77002 |
|
114 |
83 |
$3K |
| 20610 |
|
78 |
58 |
$952.50 |
| 01940 |
|
37 |
37 |
$640.96 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
274 |
267 |
$592.10 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
14 |
$384.65 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
190 |
174 |
$169.31 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
59 |
57 |
$79.35 |
| 99152 |
|
14 |
12 |
$12.76 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
719 |
600 |
$0.11 |
| 80305 |
|
12 |
12 |
$0.00 |