| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 27096 |
|
602 |
372 |
$86K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
264 |
206 |
$8K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,737 |
973 |
$389.03 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
543 |
260 |
$195.95 |
| A4215 |
Needle, sterile, any size, each |
449 |
253 |
$42.06 |
| Q9960 |
High osmolar contrast material, 200-249 mg/ml iodine concentration, per ml |
48 |
24 |
$7.06 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
83 |
40 |
$0.10 |
| 77003 |
|
57 |
45 |
$0.01 |
| 6045F |
|
18 |
12 |
$0.00 |