| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,693 |
2,462 |
$92K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,033 |
962 |
$55K |
| 99484 |
|
960 |
916 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
133 |
123 |
$11K |
| 64483 |
|
15 |
13 |
$3K |
| 80305 |
|
647 |
579 |
$2K |
| 64484 |
|
15 |
13 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
233 |
182 |
$177.50 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
35 |
28 |
$171.63 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
213 |
172 |
$84.65 |
| Q9965 |
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
67 |
48 |
$37.04 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
173 |
136 |
$22.97 |
| J2704 |
Injection, propofol, 10 mg |
192 |
119 |
$5.37 |