| Code | Description | Claims | Beneficiaries | Total Paid |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
109 |
91 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
25 |
$0.00 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
27 |
26 |
$0.00 |
| 11721 |
|
14 |
13 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
211 |
157 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
460 |
315 |
$0.00 |