| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,202 |
3,005 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
125 |
120 |
$3K |
| 64483 |
|
25 |
24 |
$434.09 |
| 64493 |
|
12 |
12 |
$273.17 |
| 64484 |
|
26 |
25 |
$218.96 |
| 99152 |
|
88 |
82 |
$158.67 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
26 |
26 |
$89.25 |
| G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
19 |
17 |
$36.71 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
13 |
13 |
$13.66 |