| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,812 |
3,087 |
$105K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
603 |
511 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
805 |
621 |
$31K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
539 |
469 |
$25K |
| 64483 |
|
283 |
220 |
$24K |
| 73630 |
|
323 |
250 |
$4K |
| 73110 |
|
113 |
93 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
805 |
608 |
$798.24 |
| 73610 |
|
60 |
53 |
$787.93 |
| 72110 |
|
30 |
26 |
$528.43 |
| 20610 |
|
16 |
15 |
$503.92 |
| 73030 |
|
33 |
26 |
$309.22 |
| 73130 |
|
13 |
12 |
$175.66 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
30 |
25 |
$74.72 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
71 |
51 |
$11.17 |