| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,163 |
10,010 |
$458K |
| 62323 |
|
670 |
626 |
$117K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
643 |
634 |
$53K |
| 64635 |
|
201 |
170 |
$48K |
| 64636 |
|
234 |
202 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
612 |
577 |
$38K |
| 27096 |
|
140 |
136 |
$23K |
| 64493 |
|
75 |
68 |
$13K |
| 64494 |
|
61 |
56 |
$5K |
| 80305 |
|
387 |
365 |
$3K |
| 77002 |
|
56 |
51 |
$2K |
| 64490 |
|
13 |
12 |
$2K |
| 76942 |
|
61 |
52 |
$2K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
240 |
226 |
$2K |
| 20553 |
|
30 |
26 |
$1K |
| 64495 |
|
15 |
12 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
307 |
299 |
$1K |
| 64491 |
|
12 |
12 |
$952.39 |
| 20610 |
|
25 |
24 |
$889.42 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,056 |
989 |
$505.03 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
24 |
24 |
$311.90 |
| A4248 |
Chlorhexidine containing antiseptic, 1 ml |
47 |
37 |
$149.52 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$32.61 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
62 |
46 |
$19.19 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
13 |
12 |
$5.90 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
2,508 |
2,025 |
$3.42 |
| A4930 |
Gloves, sterile, per pair |
20 |
14 |
$2.08 |
| 99072 |
|
1,353 |
891 |
$0.00 |