| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,766 |
11,062 |
$758K |
| 99153 |
Mod sedat endo service >5yrs |
3,420 |
2,651 |
$113K |
| 99152 |
|
3,482 |
2,693 |
$78K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
614 |
538 |
$62K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
730 |
642 |
$36K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
1,754 |
1,384 |
$31K |
| A4550 |
Surgical trays |
504 |
426 |
$24K |
| 64483 |
|
149 |
135 |
$22K |
| 20553 |
|
498 |
354 |
$12K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
20 |
13 |
$8K |
| 96127 |
|
1,137 |
1,040 |
$6K |
| 36000 |
|
398 |
322 |
$5K |
| 64493 |
|
31 |
25 |
$5K |
| 64635 |
|
16 |
12 |
$4K |
| 62323 |
|
64 |
52 |
$4K |
| 20610 |
|
74 |
54 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
24 |
$2K |
| 64615 |
|
35 |
26 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,546 |
1,327 |
$1K |
| 64636 |
|
16 |
12 |
$808.80 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,478 |
1,180 |
$427.45 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
107 |
90 |
$43.00 |