| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,058 |
1,936 |
$154K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
348 |
348 |
$52K |
| 64636 |
|
135 |
93 |
$45K |
| 64635 |
|
95 |
92 |
$35K |
| 77002 |
|
87 |
66 |
$6K |
| 64483 |
|
12 |
12 |
$3K |
| 20610 |
|
53 |
39 |
$3K |
| 99152 |
|
44 |
43 |
$2K |
| 64484 |
|
12 |
12 |
$1K |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
352 |
338 |
$774.34 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
53 |
51 |
$177.78 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
12 |
12 |
$124.47 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
43 |
42 |
$12.49 |