| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,759 |
4,795 |
$118K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
27 |
$2K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
29 |
26 |
$0.27 |
| 99153 |
Mod sedat endo service >5yrs |
26 |
24 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
14 |
12 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
18 |
16 |
$0.00 |
| 99152 |
|
26 |
24 |
$0.00 |