| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,211 |
3,714 |
$194K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,144 |
7,082 |
$132K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
688 |
539 |
$42K |
| 95886 |
|
367 |
261 |
$13K |
| 64493 |
|
159 |
124 |
$8K |
| 62323 |
|
116 |
81 |
$6K |
| 99442 |
|
475 |
320 |
$5K |
| 64494 |
|
144 |
86 |
$4K |
| 20611 |
|
217 |
120 |
$3K |
| 64483 |
|
54 |
41 |
$3K |
| 20552 |
|
694 |
402 |
$3K |
| 20553 |
|
184 |
80 |
$3K |
| 72114 |
|
94 |
76 |
$2K |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
494 |
423 |
$2K |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
211 |
126 |
$746.28 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
153 |
133 |
$690.98 |
| J3490 |
Unclassified drugs |
1,896 |
1,419 |
$592.35 |
| 72052 |
|
12 |
12 |
$412.20 |
| 64484 |
|
25 |
15 |
$113.64 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
878 |
735 |
$110.82 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,385 |
1,088 |
$90.07 |
| 99441 |
|
30 |
15 |
$33.96 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
922 |
618 |
$17.01 |
| 82962 |
|
12 |
12 |
$15.68 |
| A4550 |
Surgical trays |
1,164 |
944 |
$0.00 |
| 98940 |
|
41 |
12 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$0.00 |