| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,348 |
3,894 |
$147K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,349 |
1,234 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
407 |
383 |
$17K |
| 64483 |
|
143 |
123 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
145 |
142 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
201 |
197 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
104 |
99 |
$8K |
| 73560 |
|
253 |
201 |
$3K |
| 73110 |
|
50 |
37 |
$1K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
168 |
148 |
$875.46 |
| 20610 |
|
42 |
37 |
$624.95 |
| 73562 |
|
13 |
12 |
$298.76 |
| 73030 |
|
15 |
15 |
$207.90 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
37 |
36 |
$203.38 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
156 |
134 |
$22.16 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
15 |
13 |
$0.41 |