| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,554 |
7,987 |
$625K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,497 |
8,946 |
$522K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,872 |
5,858 |
$477K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
103 |
103 |
$396K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
634 |
591 |
$24K |
| 20610 |
|
436 |
353 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
199 |
199 |
$21K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
2,061 |
1,891 |
$14K |
| 64483 |
|
45 |
39 |
$8K |
| J3490 |
Unclassified drugs |
1,753 |
1,554 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
113 |
113 |
$7K |
| 72275 |
|
73 |
70 |
$4K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
201 |
197 |
$1K |
| 20552 |
|
44 |
38 |
$818.23 |
| 77003 |
|
54 |
48 |
$605.77 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
300 |
256 |
$384.06 |
| A4550 |
Surgical trays |
1,406 |
1,272 |
$99.25 |
| A4217 |
Sterile water/saline, 500 ml |
165 |
159 |
$35.98 |
| A4215 |
Needle, sterile, any size, each |
32 |
29 |
$8.06 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
38 |
34 |
$0.22 |
| 99024 |
|
750 |
606 |
$0.00 |