| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99091 |
|
501 |
485 |
$77K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
630 |
451 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
257 |
193 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
328 |
224 |
$7K |
| 95921 |
|
55 |
48 |
$1K |
| 93923 |
|
110 |
48 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
239 |
156 |
$538.62 |
| 95923 |
|
72 |
62 |
$459.12 |
| 95943 |
|
16 |
13 |
$219.32 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
179 |
108 |
$74.58 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
237 |
156 |
$63.72 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
23 |
18 |
$41.04 |
| 99490 |
Ccm add 20min |
21 |
21 |
$0.00 |
| 1036F |
|
298 |
231 |
$0.00 |
| 99457 |
|
13 |
13 |
$0.00 |
| 93922 |
|
34 |
14 |
$0.00 |
| 99454 |
|
13 |
13 |
$0.00 |