| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,738 |
4,209 |
$157K |
| J0735 |
Injection, clonidine hydrochloride, 1 mg |
1,902 |
1,171 |
$17K |
| 99152 |
|
497 |
300 |
$11K |
| 99153 |
Mod sedat endo service >5yrs |
494 |
300 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
38 |
34 |
$5K |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
576 |
371 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
33 |
13 |
$77.24 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
76 |
41 |
$16.36 |
| J3490 |
Unclassified drugs |
29 |
12 |
$0.00 |
| 1111F |
|
13 |
13 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
13 |
13 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
14 |
14 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
13 |
13 |
$0.00 |