| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,498 |
10,634 |
$541K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,797 |
5,445 |
$195K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
82 |
78 |
$6K |
| 99443 |
|
128 |
118 |
$5K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
201 |
168 |
$736.89 |
| 72275 |
|
15 |
12 |
$563.86 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
13 |
$128.28 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
14 |
$103.85 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$5.32 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
16 |
12 |
$3.70 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
39 |
24 |
$0.02 |