| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,896 |
26,124 |
$975K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,841 |
1,733 |
$95K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
215 |
206 |
$18K |
| 20611 |
|
330 |
191 |
$14K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,863 |
1,421 |
$10K |
| 64635 |
|
46 |
28 |
$10K |
| 64636 |
|
48 |
28 |
$9K |
| 76942 |
|
522 |
280 |
$8K |
| 64493 |
|
63 |
41 |
$6K |
| 20553 |
|
230 |
130 |
$5K |
| 72275 |
|
49 |
42 |
$3K |
| 27096 |
|
45 |
37 |
$3K |
| 64494 |
|
60 |
40 |
$3K |
| 64495 |
|
61 |
40 |
$3K |
| 72114 |
|
43 |
43 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
16 |
16 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
58 |
55 |
$1K |
| 80305 |
|
838 |
635 |
$701.83 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$211.09 |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
107 |
68 |
$176.75 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
336 |
258 |
$88.66 |
| A4209 |
Syringe with needle, sterile 5 cc or greater, each |
2,049 |
1,202 |
$55.56 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
192 |
136 |
$26.60 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
37 |
27 |
$20.58 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
21 |
13 |
$7.38 |
| A4215 |
Needle, sterile, any size, each |
2,564 |
1,495 |
$7.23 |
| A4213 |
Syringe, sterile, 20 cc or greater, each |
44 |
33 |
$1.46 |
| 1036F |
|
134 |
105 |
$0.00 |
| A4550 |
Surgical trays |
2,423 |
1,336 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
468 |
350 |
$0.00 |
| 4004F |
|
117 |
79 |
$0.00 |