| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,187 |
2,003 |
$139K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
196 |
180 |
$13K |
| 20610 |
|
18 |
13 |
$454.26 |
| 80306 |
|
14 |
14 |
$55.70 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
31 |
25 |
$25.79 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
85 |
60 |
$18.14 |
| 99072 |
|
26 |
19 |
$0.00 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
73 |
54 |
$0.00 |
| 99000 |
|
14 |
14 |
$0.00 |