| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,032 |
1,798 |
$59K |
| 64483 |
|
136 |
102 |
$14K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
751 |
532 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
167 |
129 |
$7K |
| 64484 |
|
117 |
87 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
61 |
53 |
$2K |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
241 |
178 |
$577.64 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
37 |
12 |
$18.10 |
| J3490 |
Unclassified drugs |
84 |
61 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
225 |
181 |
$0.00 |
| 1125F |
|
320 |
262 |
$0.00 |
| 1036F |
|
31 |
27 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
167 |
137 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
230 |
189 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
240 |
195 |
$0.00 |
| 4004F |
|
13 |
12 |
$0.00 |