| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Q4186 |
Epifix, per square centimeter (add-on, list separately in addition to primary procedure) |
70 |
26 |
$125K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,493 |
3,324 |
$79K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
381 |
377 |
$12K |
| 20610 |
|
367 |
325 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
106 |
102 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
59 |
59 |
$4K |
| 15275 |
|
71 |
26 |
$4K |
| 27447 |
|
12 |
12 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
38 |
38 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$312.16 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
103 |
92 |
$158.61 |