| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,797 |
7,336 |
$211K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
1,457 |
891 |
$46K |
| 62370 |
|
2,479 |
1,894 |
$44K |
| 76942 |
|
2,060 |
1,574 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,004 |
3,686 |
$20K |
| 80305 |
|
2,721 |
2,318 |
$8K |
| 64635 |
|
26 |
24 |
$7K |
| 64636 |
|
36 |
24 |
$4K |
| 99152 |
|
431 |
366 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
51 |
49 |
$3K |
| J0735 |
Injection, clonidine hydrochloride, 1 mg |
251 |
179 |
$3K |
| 62368 |
|
384 |
234 |
$2K |
| 99442 |
|
43 |
35 |
$2K |
| 64493 |
|
13 |
13 |
$1K |
| 20610 |
|
14 |
12 |
$305.65 |
| 77003 |
|
356 |
321 |
$209.16 |
| 64494 |
|
12 |
12 |
$185.22 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
40 |
29 |
$124.70 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
141 |
51 |
$43.52 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
94 |
79 |
$22.53 |