| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,407 |
3,156 |
$116K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,308 |
1,247 |
$82K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,130 |
1,044 |
$56K |
| 77003 |
|
762 |
711 |
$54K |
| 64635 |
|
179 |
163 |
$40K |
| 99152 |
|
772 |
715 |
$37K |
| 64636 |
|
127 |
122 |
$21K |
| 99153 |
Mod sedat endo service >5yrs |
759 |
705 |
$15K |
| 64493 |
|
105 |
57 |
$14K |
| 27096 |
|
35 |
24 |
$11K |
| 76942 |
|
216 |
190 |
$6K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
462 |
416 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
80 |
80 |
$6K |
| 64495 |
|
104 |
57 |
$5K |
| 64494 |
|
103 |
57 |
$4K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
699 |
654 |
$4K |
| 72275 |
|
41 |
41 |
$4K |
| 99205 |
Prolong outpt/office vis |
27 |
27 |
$3K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
134 |
124 |
$3K |
| 62323 |
|
12 |
12 |
$3K |
| 76881 |
|
18 |
18 |
$3K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
41 |
39 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
63 |
60 |
$1K |
| 62370 |
|
31 |
25 |
$535.11 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
230 |
223 |
$97.81 |