| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 64483 |
|
115 |
115 |
$38K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
400 |
389 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
39 |
39 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$2K |
| 20553 |
|
16 |
12 |
$872.70 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
434 |
433 |
$432.18 |