| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,767 |
8,379 |
$510K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
622 |
622 |
$76K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
729 |
717 |
$59K |
| 99152 |
|
1,474 |
1,433 |
$56K |
| 80305 |
|
3,023 |
2,979 |
$33K |
| 62323 |
|
132 |
132 |
$26K |
| 64483 |
|
65 |
65 |
$12K |
| 27096 |
|
40 |
40 |
$6K |
| 64635 |
|
14 |
12 |
$4K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
207 |
207 |
$2K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,126 |
1,091 |
$938.91 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
115 |
114 |
$592.10 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
63 |
62 |
$426.79 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,022 |
990 |
$248.43 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
20 |
20 |
$138.02 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
25 |
25 |
$35.88 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
12 |
12 |
$25.10 |