| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,464 |
4,213 |
$306K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
264 |
264 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
206 |
193 |
$13K |
| 62323 |
|
88 |
88 |
$12K |
| 80305 |
|
591 |
587 |
$6K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
510 |
498 |
$4K |
| 64493 |
|
29 |
24 |
$4K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
450 |
429 |
$1K |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
635 |
581 |
$883.20 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
509 |
497 |
$641.41 |