| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,665 |
4,401 |
$261K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
882 |
879 |
$89K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,544 |
1,480 |
$55K |
| 62323 |
|
155 |
150 |
$19K |
| 73630 |
|
953 |
532 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
144 |
143 |
$9K |
| 73562 |
|
356 |
180 |
$6K |
| 20611 |
|
69 |
67 |
$3K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
363 |
349 |
$3K |
| 20610 |
|
68 |
64 |
$2K |
| 72110 |
|
93 |
58 |
$2K |
| 99215 |
Prolong outpt/office vis |
28 |
27 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
359 |
339 |
$1K |
| 95886 |
|
21 |
13 |
$1K |
| 73030 |
|
60 |
41 |
$774.02 |
| 73110 |
|
48 |
25 |
$714.84 |
| 20550 |
|
26 |
25 |
$710.64 |
| 20600 |
|
16 |
14 |
$516.23 |
| 73564 |
|
27 |
16 |
$446.83 |
| 73130 |
|
22 |
12 |
$321.31 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
97 |
94 |
$13.54 |