| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,142 |
2,750 |
$161K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,125 |
2,605 |
$131K |
| 95911 |
|
706 |
687 |
$78K |
| 95886 |
|
839 |
686 |
$67K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
88 |
87 |
$6K |
| 77002 |
|
186 |
138 |
$6K |
| 20610 |
|
241 |
179 |
$5K |
| 64635 |
|
13 |
12 |
$3K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,219 |
1,061 |
$3K |
| 62323 |
|
24 |
24 |
$2K |
| 64636 |
|
13 |
12 |
$2K |
| 20553 |
|
12 |
12 |
$499.82 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
12 |
12 |
$79.93 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
46 |
44 |
$29.30 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
44 |
37 |
$17.50 |