| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,967 |
4,179 |
$90K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,122 |
965 |
$31K |
| 76942 |
|
850 |
707 |
$17K |
| 62370 |
|
499 |
437 |
$8K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
563 |
433 |
$4K |
| J3490 |
Unclassified drugs |
515 |
421 |
$860.89 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
997 |
751 |
$264.54 |
| 64493 |
|
17 |
14 |
$242.91 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
38 |
38 |
$172.88 |
| 64494 |
|
17 |
14 |
$120.03 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
16 |
13 |
$111.11 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
27 |
26 |
$30.25 |