| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,786 |
3,773 |
$102K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,549 |
2,772 |
$50K |
| 62323 |
|
360 |
294 |
$33K |
| 62321 |
|
35 |
32 |
$4K |
| 77003 |
|
107 |
93 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
20 |
13 |
$1K |
| 99454 |
|
40 |
28 |
$289.44 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
231 |
218 |
$24.18 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
201 |
186 |
$2.67 |