| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
228 |
210 |
$4K |
| 20610 |
|
105 |
84 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$843.50 |
| 73565 |
|
18 |
12 |
$115.72 |
| 73560 |
|
18 |
12 |
$100.32 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
73 |
69 |
$7.91 |
| A4213 |
Syringe, sterile, 20 cc or greater, each |
85 |
82 |
$4.09 |
| A4215 |
Needle, sterile, any size, each |
86 |
82 |
$0.90 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
73 |
69 |
$0.00 |