| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,587 |
10,618 |
$634K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,444 |
6,857 |
$270K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
546 |
437 |
$37K |
| 99215 |
Prolong outpt/office vis |
81 |
76 |
$5K |
| 62323 |
|
27 |
14 |
$2K |
| 64493 |
|
21 |
15 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
638 |
523 |
$1K |
| 64494 |
|
21 |
15 |
$896.76 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
22 |
22 |
$464.43 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
80 |
62 |
$22.02 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
206 |
139 |
$10.32 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
13 |
13 |
$0.00 |
| 99070 |
|
172 |
144 |
$0.00 |