| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,862 |
7,358 |
$154K |
| J3300 |
Injection, triamcinolone acetonide, preservative free, 1 mg |
1,192 |
579 |
$117K |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
699 |
577 |
$28K |
| 20610 |
|
198 |
171 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
154 |
154 |
$7K |
| 77002 |
|
172 |
147 |
$4K |
| 20553 |
|
128 |
121 |
$4K |
| 64483 |
|
35 |
32 |
$4K |
| 64484 |
|
21 |
19 |
$2K |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
604 |
521 |
$2K |
| 96116 |
|
322 |
308 |
$933.24 |
| 97032 |
|
219 |
58 |
$752.58 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
49 |
44 |
$677.58 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
71 |
25 |
$604.15 |
| 99215 |
Prolong outpt/office vis |
24 |
24 |
$430.24 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
155 |
139 |
$180.73 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
36 |
27 |
$28.48 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
15 |
12 |
$22.83 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
167 |
160 |
$0.00 |
| G9578 |
Documentation of signed opioid treatment agreement at least once during opioid therapy |
15 |
14 |
$0.00 |
| G9561 |
Patients prescribed opiates for longer than six weeks |
15 |
14 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
14 |
14 |
$0.00 |