| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 62323 |
|
722 |
519 |
$85K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,712 |
1,551 |
$71K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
179 |
177 |
$16K |
| 64635 |
|
40 |
28 |
$9K |
| 20552 |
|
219 |
190 |
$6K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,612 |
2,054 |
$5K |
| 64636 |
|
39 |
28 |
$4K |
| 76942 |
|
95 |
79 |
$3K |
| 27096 |
|
13 |
13 |
$1K |
| 64405 |
|
14 |
13 |
$704.30 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
1,362 |
925 |
$392.38 |
| 99442 |
|
15 |
12 |
$200.06 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
3,983 |
2,186 |
$0.70 |