| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,362 |
2,773 |
$150K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,635 |
1,400 |
$114K |
| 20552 |
|
561 |
518 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
181 |
168 |
$21K |
| 95910 |
|
256 |
125 |
$18K |
| 95886 |
|
255 |
124 |
$14K |
| 64483 |
|
32 |
29 |
$5K |
| 95885 |
|
42 |
38 |
$3K |
| 95909 |
|
15 |
14 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
363 |
212 |
$2K |
| 64484 |
|
19 |
16 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
201 |
190 |
$851.27 |
| 72100 |
|
38 |
34 |
$785.90 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
246 |
216 |
$246.43 |