| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
595 |
556 |
$7K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
708 |
653 |
$4K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
241 |
217 |
$3K |
| A4595 |
Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) |
3,953 |
3,674 |
$3K |
| 20552 |
|
141 |
110 |
$2K |
| 94760 |
|
58 |
54 |
$826.45 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
167 |
148 |
$708.59 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
59 |
53 |
$701.93 |
| 20553 |
|
39 |
28 |
$522.15 |
| 76942 |
|
32 |
30 |
$362.06 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
134 |
114 |
$301.13 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
13 |
$194.07 |
| 93042 |
|
16 |
12 |
$0.00 |
| E0730 |
Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation |
12 |
12 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
13 |
13 |
$0.00 |