| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,856 |
1,754 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
526 |
497 |
$20K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,258 |
1,059 |
$7K |
| 99233 |
Prolong inpt eval add15 m |
1,577 |
825 |
$7K |
| 80305 |
|
909 |
879 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
52 |
52 |
$3K |
| 99442 |
|
125 |
118 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
359 |
331 |
$2K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
55 |
29 |
$187.14 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
207 |
163 |
$142.39 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
14 |
12 |
$70.97 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
12 |
12 |
$63.39 |
| 97032 |
|
55 |
29 |
$36.99 |
| 97035 |
|
55 |
29 |
$30.67 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
86 |
69 |
$0.22 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
56 |
42 |
$0.00 |