| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
563 |
563 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
663 |
652 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
254 |
252 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
100 |
100 |
$10K |
| 20610 |
|
297 |
282 |
$9K |
| 73564 |
|
39 |
39 |
$1K |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
111 |
110 |
$491.85 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
38 |
38 |
$356.57 |
| 73630 |
|
15 |
13 |
$330.86 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
43 |
41 |
$276.71 |
| 3074F |
|
179 |
175 |
$0.00 |
| 3079F |
|
74 |
74 |
$0.00 |
| 3078F |
|
62 |
62 |
$0.00 |
| 3077F |
|
14 |
14 |
$0.00 |