| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,827 |
6,575 |
$328K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,430 |
4,768 |
$137K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,502 |
1,397 |
$124K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,465 |
1,405 |
$81K |
| 20611 |
|
1,574 |
1,188 |
$71K |
| 99243 |
|
517 |
498 |
$42K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,240 |
1,010 |
$26K |
| 20610 |
|
584 |
459 |
$15K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
2,543 |
2,309 |
$12K |
| J7321 |
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose |
143 |
49 |
$8K |
| 97760 |
|
472 |
412 |
$8K |
| 99215 |
Prolong outpt/office vis |
112 |
105 |
$7K |
| 73562 |
|
240 |
210 |
$3K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
868 |
709 |
$2K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
94 |
40 |
$2K |
| 73030 |
|
118 |
108 |
$2K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
239 |
222 |
$1K |
| 62323 |
|
31 |
26 |
$1K |
| 20550 |
|
16 |
14 |
$376.90 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
140 |
80 |
$358.82 |
| 99442 |
|
14 |
12 |
$343.44 |
| 73130 |
|
18 |
13 |
$308.80 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
26 |
25 |
$0.00 |