| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
806 |
704 |
$42K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
42 |
42 |
$3K |
| 62323 |
|
13 |
13 |
$999.40 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29 |
28 |
$842.08 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
85 |
79 |
$264.81 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
31 |
29 |
$260.99 |
| 77003 |
|
16 |
12 |
$22.50 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
13 |
13 |
$10.68 |