| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,189 |
3,450 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,525 |
1,920 |
$7K |
| 64635 |
|
30 |
27 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
2,540 |
1,721 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
34 |
29 |
$807.57 |
| 80305 |
|
660 |
513 |
$28.65 |
| 64493 |
|
121 |
94 |
$21.07 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
748 |
485 |
$10.98 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
63 |
57 |
$2.81 |
| 20610 |
|
42 |
36 |
$2.32 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
113 |
97 |
$0.37 |
| 64495 |
|
101 |
80 |
$0.00 |
| 77002 |
|
54 |
49 |
$0.00 |
| 64636 |
|
30 |
27 |
$0.00 |
| 81002 |
|
113 |
92 |
$0.00 |
| 64484 |
|
85 |
81 |
$0.00 |
| 64494 |
|
102 |
82 |
$0.00 |
| 64483 |
|
85 |
82 |
$0.00 |