| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 62323 |
|
26 |
24 |
$457.91 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
14 |
$303.56 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
41 |
40 |
$176.17 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
91 |
88 |
$168.18 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
27 |
24 |
$104.87 |
| 99442 |
|
49 |
46 |
$16.11 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
25 |
25 |
$7.72 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
118 |
93 |
$5.53 |