| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
40,899 |
29,840 |
$1.60M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,147 |
3,685 |
$125K |
| J3300 |
Injection, triamcinolone acetonide, preservative free, 1 mg |
2,363 |
1,139 |
$104K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
521 |
368 |
$39K |
| 95886 |
|
219 |
127 |
$9K |
| 99215 |
Prolong outpt/office vis |
141 |
109 |
$9K |
| 99152 |
|
589 |
388 |
$8K |
| 99205 |
Prolong outpt/office vis |
80 |
50 |
$8K |
| 95912 |
|
102 |
73 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
247 |
135 |
$5K |
| 62323 |
|
97 |
50 |
$4K |
| 77002 |
|
228 |
118 |
$4K |
| 20610 |
|
209 |
109 |
$4K |
| 64493 |
|
139 |
87 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
299 |
164 |
$3K |
| 64494 |
|
96 |
65 |
$1K |
| 99443 |
|
35 |
25 |
$890.38 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
741 |
431 |
$693.18 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
94 |
65 |
$367.98 |
| 64495 |
|
24 |
17 |
$337.23 |
| J0670 |
Injection, mepivacaine hydrochloride, per 10 ml |
321 |
208 |
$331.41 |
| 99442 |
|
21 |
16 |
$276.66 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
60 |
45 |
$237.10 |
| 77003 |
|
93 |
63 |
$185.41 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
62 |
43 |
$181.12 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
622 |
379 |
$80.72 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
69 |
59 |
$48.01 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
16 |
13 |
$29.34 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
117 |
85 |
$28.47 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
78 |
65 |
$22.56 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
510 |
315 |
$13.00 |
| C9290 |
Injection, bupivacaine liposome, 1 mg |
14 |
14 |
$10.13 |