| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,860 |
2,683 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
673 |
503 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
37 |
30 |
$166.06 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
29 |
27 |
$95.16 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
26 |
12 |
$12.15 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
511 |
356 |
$7.34 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
17 |
13 |
$4.91 |
| 1000F |
|
34 |
25 |
$0.00 |
| J3490 |
Unclassified drugs |
66 |
59 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
50 |
43 |
$0.00 |
| A4550 |
Surgical trays |
66 |
54 |
$0.00 |