| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,385 |
1,283 |
$38K |
| J3300 |
Injection, triamcinolone acetonide, preservative free, 1 mg |
18 |
14 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
58 |
57 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$834.22 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
24 |
23 |
$228.18 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
48 |
43 |
$4.09 |