| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
3,489 |
3,055 |
$143K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,066 |
899 |
$39K |
| 99152 |
|
1,601 |
1,356 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$356.88 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
426 |
401 |
$122.16 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
944 |
785 |
$81.58 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,586 |
1,341 |
$40.75 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,593 |
1,344 |
$20.00 |