| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
623 |
537 |
$56K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
61 |
61 |
$8K |
| J3300 |
Injection, triamcinolone acetonide, preservative free, 1 mg |
132 |
113 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
59 |
51 |
$2K |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
31 |
26 |
$49.16 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
13 |
12 |
$5.02 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
97 |
82 |
$0.00 |