| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,242 |
4,831 |
$205K |
| 64483 |
|
148 |
123 |
$13K |
| 80305 |
|
2,288 |
2,128 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
327 |
309 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
84 |
77 |
$4K |
| 99443 |
|
153 |
144 |
$3K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
364 |
335 |
$3K |
| 20553 |
|
83 |
77 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
341 |
314 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
542 |
480 |
$668.30 |
| 20610 |
|
16 |
16 |
$580.54 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
167 |
149 |
$506.11 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
172 |
154 |
$27.88 |
| J2704 |
Injection, propofol, 10 mg |
59 |
53 |
$26.36 |
| A4550 |
Surgical trays |
22 |
14 |
$0.00 |