| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,851 |
1,614 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
972 |
836 |
$18K |
| 80305 |
|
1,129 |
1,022 |
$3K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
44 |
38 |
$196.55 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
131 |
95 |
$89.46 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
418 |
340 |
$87.45 |
| 96130 |
|
45 |
41 |
$35.20 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
52 |
52 |
$0.00 |
| 96132 |
|
44 |
41 |
$0.00 |
| 96138 |
|
45 |
41 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$0.00 |