| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
483 |
410 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
67 |
67 |
$9K |
| 99305 |
|
44 |
43 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
88 |
45 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
39 |
38 |
$172.82 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
13 |
13 |
$35.70 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
27 |
25 |
$1.11 |
| A4550 |
Surgical trays |
13 |
12 |
$0.00 |