| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,472 |
1,961 |
$116K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
326 |
251 |
$8K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
694 |
553 |
$2K |
| 20553 |
|
107 |
83 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
43 |
36 |
$893.99 |
| 96127 |
|
72 |
49 |
$196.70 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
24 |
16 |
$135.78 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
31 |
28 |
$17.91 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
22 |
15 |
$0.00 |