| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,283 |
645 |
$4K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
136 |
57 |
$41.12 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
66 |
29 |
$4.98 |
| J2704 |
Injection, propofol, 10 mg |
68 |
30 |
$0.38 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
68 |
30 |
$0.10 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
93 |
43 |
$0.00 |
| 01992 |
|
31 |
18 |
$0.00 |
| 96136 |
|
15 |
12 |
$0.00 |