| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 62323 |
|
339 |
317 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
812 |
769 |
$26K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
955 |
897 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
342 |
313 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
134 |
125 |
$5K |
| 93923 |
|
47 |
24 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$2K |
| 95924 |
|
24 |
24 |
$1K |
| 95923 |
|
24 |
24 |
$789.07 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
266 |
252 |
$208.57 |
| 93040 |
|
24 |
24 |
$190.53 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
888 |
833 |
$60.60 |