| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,505 |
7,238 |
$263K |
| 62323 |
|
55 |
42 |
$6K |
| 99215 |
Prolong outpt/office vis |
401 |
154 |
$6K |
| 99205 |
Prolong outpt/office vis |
40 |
40 |
$6K |
| 80305 |
|
8,709 |
6,765 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18 |
18 |
$453.44 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
329 |
244 |
$3.25 |
| 99406 |
|
96 |
94 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
103 |
76 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
41 |
32 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
114 |
86 |
$0.00 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
20 |
16 |
$0.00 |