| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
591 |
570 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
68 |
68 |
$5K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
12 |
12 |
$0.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
12 |
12 |
$0.00 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
272 |
257 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
59 |
58 |
$0.00 |