| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
805 |
739 |
$55K |
| 98928 |
|
572 |
477 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
676 |
561 |
$22K |
| 20610 |
|
529 |
344 |
$15K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
38 |
15 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
24 |
24 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
43 |
42 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,176 |
831 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
17 |
17 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
344 |
293 |
$775.38 |
| 77002 |
|
85 |
69 |
$735.65 |
| 0012A |
|
14 |
14 |
$477.72 |
| 0011A |
|
20 |
20 |
$385.50 |
| 98927 |
|
14 |
14 |
$366.98 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
358 |
297 |
$248.16 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
61 |
57 |
$110.94 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
93 |
78 |
$101.43 |
| 98925 |
|
12 |
12 |
$83.82 |
| J0670 |
Injection, mepivacaine hydrochloride, per 10 ml |
892 |
699 |
$42.48 |
| 91301 |
|
32 |
25 |
$0.00 |
| 20552 |
|
17 |
14 |
$0.00 |