| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,288 |
2,549 |
$86K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
424 |
311 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
375 |
301 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
20 |
13 |
$287.74 |
| 99215 |
Prolong outpt/office vis |
27 |
14 |
$61.98 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
44 |
28 |
$22.71 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
98 |
65 |
$16.51 |