| Code | Description | Claims | Beneficiaries | Total Paid |
| 64636 |
|
602 |
540 |
$291K |
| 64635 |
|
602 |
540 |
$235K |
| 64484 |
|
443 |
428 |
$139K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,636 |
1,534 |
$116K |
| 64483 |
|
443 |
428 |
$96K |
| 01992 |
|
221 |
209 |
$25K |
| 01936 |
|
201 |
194 |
$25K |
| 76942 |
|
285 |
273 |
$14K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
903 |
838 |
$11K |
| 77002 |
|
137 |
127 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
43 |
43 |
$7K |
| 20553 |
|
121 |
117 |
$7K |
| 20610 |
|
119 |
108 |
$6K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
620 |
591 |
$4K |
| 62321 |
|
13 |
12 |
$3K |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
1,571 |
1,391 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
16 |
$2K |
| 80305 |
|
70 |
66 |
$691.15 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
779 |
727 |
$216.10 |
| Q9965 |
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
151 |
143 |
$105.18 |