| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,488 |
9,458 |
$253K |
| 62323 |
|
1,776 |
1,283 |
$107K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
346 |
285 |
$26K |
| 27096 |
|
231 |
183 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
296 |
253 |
$11K |
| 64483 |
|
29 |
25 |
$4K |
| 20553 |
|
102 |
85 |
$2K |
| 62321 |
|
17 |
12 |
$2K |
| 96136 |
|
209 |
160 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
456 |
367 |
$1K |
| 96103 |
|
434 |
296 |
$1K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
34 |
29 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,096 |
972 |
$1K |
| 64493 |
|
15 |
14 |
$957.59 |
| 64494 |
|
15 |
14 |
$499.46 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
41 |
29 |
$273.51 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
15 |
$186.01 |
| J3490 |
Unclassified drugs |
617 |
504 |
$105.81 |
| 99490 |
Ccm add 20min |
157 |
151 |
$66.50 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
29 |
26 |
$10.90 |