| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,290 |
2,905 |
$87K |
| 62323 |
|
334 |
308 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
712 |
657 |
$30K |
| 99152 |
|
1,392 |
1,266 |
$28K |
| 99153 |
Mod sedat endo service >5yrs |
1,321 |
1,205 |
$11K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,419 |
1,290 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
53 |
51 |
$3K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,369 |
1,247 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,083 |
968 |
$636.43 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,373 |
1,249 |
$400.91 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,219 |
1,110 |
$366.32 |
| A4930 |
Gloves, sterile, per pair |
1,342 |
1,227 |
$303.33 |
| J3490 |
Unclassified drugs |
103 |
97 |
$93.93 |
| 77003 |
|
81 |
75 |
$55.71 |
| A4550 |
Surgical trays |
1,248 |
1,135 |
$19.04 |
| A4215 |
Needle, sterile, any size, each |
1,250 |
1,137 |
$5.11 |