| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,622 |
8,213 |
$284K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,354 |
3,341 |
$216K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,070 |
1,056 |
$51K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
494 |
494 |
$40K |
| 20610 |
|
260 |
220 |
$9K |
| 20611 |
|
219 |
208 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
67 |
67 |
$4K |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
146 |
141 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
799 |
781 |
$471.90 |
| A4550 |
Surgical trays |
15 |
12 |
$400.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
579 |
569 |
$60.13 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
12 |
12 |
$45.29 |
| 99024 |
|
545 |
504 |
$0.00 |
| 1111F |
|
14 |
12 |
$0.00 |