| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,942 |
4,465 |
$550K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
93 |
93 |
$16K |
| 62323 |
|
39 |
38 |
$11K |
| A4215 |
Needle, sterile, any size, each |
111 |
106 |
$1K |
| A4930 |
Gloves, sterile, per pair |
145 |
134 |
$442.11 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
296 |
278 |
$384.69 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
80 |
78 |
$380.52 |
| 94761 |
|
156 |
149 |
$43.25 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
27 |
26 |
$42.18 |
| A4550 |
Surgical trays |
149 |
141 |
$17.81 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
311 |
288 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
250 |
231 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
322 |
298 |
$0.00 |
| 4004F |
|
80 |
78 |
$0.00 |
| 1036F |
|
235 |
216 |
$0.00 |