| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,768 |
16,419 |
$1.78M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,992 |
7,180 |
$549K |
| 64510 |
|
3,138 |
1,611 |
$517K |
| 76942 |
|
6,697 |
4,327 |
$385K |
| 64520 |
|
1,414 |
846 |
$319K |
| 99205 |
Prolong outpt/office vis |
1,415 |
1,377 |
$289K |
| 99152 |
|
3,708 |
2,691 |
$165K |
| 77003 |
|
1,425 |
863 |
$137K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,409 |
854 |
$80K |
| 64483 |
|
310 |
288 |
$72K |
| 99215 |
Prolong outpt/office vis |
335 |
295 |
$48K |
| 62370 |
|
661 |
618 |
$39K |
| 62323 |
|
149 |
137 |
$30K |
| 80305 |
|
3,015 |
2,769 |
$25K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
2,251 |
1,938 |
$22K |
| 20553 |
|
265 |
241 |
$15K |
| 27096 |
|
40 |
40 |
$7K |
| 64484 |
|
75 |
64 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
152 |
140 |
$6K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
1,161 |
1,057 |
$6K |
| 20611 |
|
71 |
62 |
$6K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
1,731 |
1,063 |
$5K |
| 62321 |
|
25 |
24 |
$4K |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
3,735 |
2,877 |
$4K |
| 64530 |
|
12 |
12 |
$3K |
| 64447 |
|
17 |
12 |
$2K |
| 99153 |
Mod sedat endo service >5yrs |
195 |
172 |
$2K |
| 64450 |
|
22 |
12 |
$1K |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
4,933 |
3,070 |
$1K |
| 62368 |
|
24 |
12 |
$501.04 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
642 |
402 |
$175.65 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
3,571 |
2,627 |
$150.20 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
3,103 |
2,323 |
$110.85 |
| J7050 |
Infusion, normal saline solution, 250 cc |
24 |
12 |
$63.01 |
| 99406 |
|
15 |
15 |
$36.76 |
| J3490 |
Unclassified drugs |
1,632 |
929 |
$0.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
120 |
112 |
$0.00 |
| J7999 |
Compounded drug, not otherwise classified |
82 |
80 |
$0.00 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
15 |
15 |
$0.00 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
141 |
94 |
$0.00 |