| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,024 |
5,825 |
$93K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,768 |
3,975 |
$90K |
| J7321 |
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose |
165 |
50 |
$4K |
| 95923 |
|
204 |
133 |
$4K |
| 77002 |
|
161 |
50 |
$3K |
| 20610 |
|
160 |
50 |
$3K |
| 93922 |
|
201 |
128 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
126 |
38 |
$2K |
| 95943 |
|
30 |
13 |
$1K |
| 27369 |
|
29 |
15 |
$1K |
| 3008F |
|
4,905 |
3,897 |
$931.97 |
| 73580 |
|
26 |
14 |
$873.33 |
| 36415 |
Collection of venous blood by venipuncture |
1,310 |
1,163 |
$676.88 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
193 |
168 |
$661.57 |
| 73564 |
|
32 |
20 |
$232.03 |
| 76775 |
|
12 |
12 |
$122.34 |
| 95921 |
|
25 |
12 |
$55.67 |
| 99497 |
|
38 |
35 |
$33.36 |
| 80306 |
|
16 |
16 |
$18.30 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
200 |
55 |
$16.81 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
52 |
39 |
$11.91 |