| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,084 |
4,283 |
$404K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,570 |
3,844 |
$256K |
| 95911 |
|
148 |
142 |
$20K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
3,647 |
3,219 |
$18K |
| 62323 |
|
92 |
91 |
$17K |
| 95886 |
|
291 |
141 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
126 |
124 |
$11K |
| 72275 |
|
88 |
87 |
$8K |
| 62321 |
|
13 |
13 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$2K |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
761 |
660 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
34 |
33 |
$1K |
| 20553 |
|
19 |
18 |
$741.80 |
| 80305 |
|
32 |
31 |
$239.58 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
14 |
12 |
$46.20 |