| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,751 |
9,220 |
$487K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,223 |
1,185 |
$94K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
653 |
631 |
$20K |
| 64483 |
|
57 |
53 |
$10K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
29 |
28 |
$29.06 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
27 |
26 |
$0.84 |