| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,555 |
1,440 |
$89K |
| 64636 |
|
128 |
114 |
$51K |
| 64635 |
|
128 |
114 |
$41K |
| 01936 |
|
363 |
337 |
$32K |
| 01992 |
|
267 |
249 |
$17K |
| 64484 |
|
39 |
39 |
$13K |
| 64483 |
|
39 |
39 |
$7K |
| 76942 |
|
61 |
56 |
$5K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
352 |
324 |
$4K |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
900 |
794 |
$3K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
326 |
300 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$2K |
| 95911 |
|
13 |
12 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$1K |
| 20553 |
|
32 |
29 |
$1K |
| 77002 |
|
25 |
25 |
$1K |
| 95886 |
|
13 |
12 |
$1K |
| 20610 |
|
16 |
12 |
$884.70 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
395 |
372 |
$105.35 |