| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
927 |
916 |
$31K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
510 |
509 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,080 |
1,073 |
$25K |
| 62323 |
|
423 |
415 |
$23K |
| 72141 |
|
110 |
110 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
223 |
221 |
$3K |
| 62321 |
|
37 |
37 |
$3K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
26 |
26 |
$2K |
| 95913 |
|
27 |
26 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30 |
30 |
$2K |
| 95886 |
|
70 |
68 |
$1K |
| 72114 |
|
72 |
72 |
$1K |
| 72156 |
|
16 |
16 |
$863.29 |
| 72158 |
|
13 |
13 |
$788.64 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
14 |
14 |
$718.85 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
451 |
449 |
$602.93 |
| 72052 |
|
12 |
12 |
$164.56 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
27 |
27 |
$3.31 |