| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,321 |
2,951 |
$120K |
| 62323 |
|
588 |
498 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,705 |
2,316 |
$24K |
| 99152 |
|
1,944 |
1,652 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
101 |
86 |
$7K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
2,315 |
1,982 |
$7K |
| 99153 |
Mod sedat endo service >5yrs |
1,835 |
1,553 |
$5K |
| 27096 |
|
12 |
12 |
$2K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,433 |
1,239 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,499 |
1,270 |
$794.23 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
2,103 |
1,797 |
$500.13 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,217 |
1,039 |
$271.58 |
| J3490 |
Unclassified drugs |
175 |
151 |
$215.01 |
| 77002 |
|
35 |
26 |
$188.64 |
| A4930 |
Gloves, sterile, per pair |
671 |
574 |
$56.84 |
| A4215 |
Needle, sterile, any size, each |
673 |
572 |
$16.21 |
| 77003 |
|
43 |
32 |
$0.00 |
| A4550 |
Surgical trays |
665 |
564 |
$0.00 |