| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,374 |
3,773 |
$476K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,610 |
2,228 |
$200K |
| 95911 |
|
257 |
250 |
$52K |
| 95886 |
|
304 |
238 |
$46K |
| 62323 |
|
77 |
76 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
83 |
83 |
$9K |
| 64635 |
|
27 |
24 |
$9K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,490 |
1,358 |
$5K |
| 20553 |
|
93 |
88 |
$4K |
| 77002 |
|
54 |
44 |
$4K |
| 20610 |
|
83 |
69 |
$4K |
| 64636 |
|
14 |
12 |
$3K |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
480 |
463 |
$1K |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
389 |
377 |
$0.06 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
16 |
14 |
$0.00 |