| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23,552 |
21,929 |
$1.92M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,307 |
2,294 |
$237K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,415 |
2,333 |
$144K |
| 64635 |
|
345 |
308 |
$100K |
| 64636 |
|
485 |
293 |
$78K |
| 77003 |
|
749 |
639 |
$67K |
| 76942 |
|
1,318 |
1,186 |
$61K |
| 99152 |
|
1,100 |
972 |
$50K |
| 64493 |
|
331 |
228 |
$39K |
| 62323 |
|
221 |
220 |
$38K |
| 99443 |
|
435 |
429 |
$31K |
| 20611 |
|
440 |
371 |
$27K |
| J3300 |
Injection, triamcinolone acetonide, preservative free, 1 mg |
98 |
87 |
$22K |
| 64495 |
|
309 |
209 |
$22K |
| 64494 |
|
346 |
241 |
$22K |
| 20553 |
|
421 |
387 |
$21K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
2,844 |
2,429 |
$15K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,502 |
2,271 |
$4K |
| 27096 |
|
12 |
12 |
$3K |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
68 |
67 |
$2K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
137 |
133 |
$376.27 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
220 |
195 |
$219.39 |
| J3303 |
Injection, triamcinolone hexacetonide, per 5 mg |
17 |
12 |
$183.76 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
346 |
306 |
$175.89 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
350 |
342 |
$104.74 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
41 |
40 |
$85.37 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
13 |
13 |
$68.90 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
13 |
13 |
$0.36 |