| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
2,413 |
2,137 |
$397K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
967 |
862 |
$92K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
889 |
832 |
$58K |
| 99205 |
Prolong outpt/office vis |
188 |
188 |
$43K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
198 |
196 |
$26K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
130 |
124 |
$13K |
| 20610 |
|
87 |
82 |
$5K |
| 73564 |
|
75 |
61 |
$4K |
| J1110 |
Injection, dihydroergotamine mesylate, per 1 mg |
20 |
15 |
$2K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
12 |
12 |
$2K |