| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
3,926 |
3,919 |
$1.58M |
| 01922 |
|
590 |
573 |
$252K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,162 |
2,152 |
$162K |
| 00920 |
|
253 |
253 |
$61K |
| 01810 |
|
128 |
128 |
$32K |
| 01830 |
|
107 |
107 |
$29K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
242 |
242 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
182 |
181 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
81 |
81 |
$13K |
| 01400 |
|
12 |
12 |
$4K |
| 00731 |
|
16 |
16 |
$4K |
| 99441 |
|
62 |
61 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
41 |
41 |
$2K |
| 99442 |
|
18 |
18 |
$854.53 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
15 |
15 |
$136.00 |