| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
461 |
434 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
182 |
168 |
$10K |
| 77002 |
|
106 |
64 |
$7K |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
300 |
219 |
$2K |
| 20610 |
|
31 |
13 |
$985.66 |
| 80305 |
|
110 |
106 |
$802.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
189 |
165 |
$280.68 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
12 |
12 |
$39.96 |