| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J3300 |
Injection, triamcinolone acetonide, preservative free, 1 mg |
79 |
38 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
328 |
308 |
$11K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
48 |
44 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$656.87 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
314 |
216 |
$67.45 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
148 |
112 |
$12.78 |