| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,691 |
1,541 |
$11K |
| 64636 |
|
115 |
60 |
$11K |
| 64635 |
|
63 |
60 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,295 |
1,246 |
$5K |
| 64483 |
|
63 |
63 |
$3K |
| 64484 |
|
64 |
64 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
729 |
667 |
$911.83 |
| 99442 |
|
26 |
26 |
$316.63 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
129 |
125 |
$30.30 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
311 |
301 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
81 |
79 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
239 |
227 |
$0.00 |
| 99443 |
|
39 |
37 |
$0.00 |