| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,859 |
3,001 |
$231K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
380 |
370 |
$32K |
| 64483 |
|
105 |
97 |
$18K |
| 99152 |
|
273 |
241 |
$6K |
| 64484 |
|
81 |
76 |
$6K |
| 96136 |
|
164 |
159 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
226 |
200 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
123 |
109 |
$2K |
| 96132 |
|
21 |
21 |
$2K |
| 96127 |
|
96 |
95 |
$911.20 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
407 |
335 |
$507.96 |
| 99153 |
Mod sedat endo service >5yrs |
90 |
82 |
$489.98 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
619 |
568 |
$420.98 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
619 |
553 |
$285.63 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
67 |
53 |
$212.92 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
44 |
38 |
$131.69 |
| J3490 |
Unclassified drugs |
64 |
53 |
$97.42 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
463 |
411 |
$80.96 |