| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,641 |
1,126 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
216 |
200 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
151 |
151 |
$12K |
| 76942 |
|
109 |
76 |
$3K |
| 27096 |
|
58 |
37 |
$2K |
| 01936 |
|
44 |
37 |
$2K |
| 20553 |
|
15 |
13 |
$245.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
274 |
265 |
$161.89 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
78 |
73 |
$134.45 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
14 |
14 |
$1.56 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
14 |
13 |
$0.00 |