| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
388 |
349 |
$22K |
| 64483 |
|
17 |
14 |
$4K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
143 |
125 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
68 |
57 |
$317.10 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
51 |
39 |
$38.02 |
| A4209 |
Syringe with needle, sterile 5 cc or greater, each |
145 |
129 |
$6.92 |
| A4215 |
Needle, sterile, any size, each |
202 |
169 |
$0.54 |
| A4550 |
Surgical trays |
98 |
45 |
$0.00 |