| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,742 |
1,484 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
497 |
452 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
86 |
80 |
$4K |
| 62323 |
|
14 |
13 |
$1K |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
126 |
58 |
$606.98 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
178 |
165 |
$413.60 |
| 20553 |
|
12 |
12 |
$259.60 |
| 98926 |
|
26 |
14 |
$258.54 |