| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,045 |
2,898 |
$118K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,297 |
2,177 |
$63K |
| 64483 |
|
196 |
186 |
$55K |
| 64493 |
|
37 |
37 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
89 |
86 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
75 |
74 |
$5K |
| 20553 |
|
75 |
70 |
$3K |
| 64494 |
|
38 |
38 |
$724.40 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,378 |
1,227 |
$218.19 |
| 76942 |
|
72 |
67 |
$86.89 |
| 64484 |
|
183 |
173 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
43 |
42 |
$0.00 |
| 64495 |
|
25 |
25 |
$0.00 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
299 |
285 |
$0.00 |