| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,309 |
1,273 |
$80K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
751 |
728 |
$28K |
| 64483 |
|
168 |
166 |
$20K |
| 99205 |
Prolong outpt/office vis |
130 |
130 |
$14K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
178 |
168 |
$2K |
| 77002 |
|
18 |
13 |
$705.23 |
| 20610 |
|
17 |
12 |
$414.70 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$279.26 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
473 |
401 |
$163.48 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
14 |
12 |
$116.16 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
169 |
167 |
$22.88 |
| 1160F |
|
50 |
50 |
$0.00 |
| 3008F |
|
49 |
49 |
$0.00 |
| 3074F |
|
14 |
14 |
$0.00 |