| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
656 |
645 |
$27K |
| 62323 |
|
247 |
247 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
387 |
381 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
142 |
142 |
$8K |
| 64493 |
|
88 |
88 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
175 |
163 |
$7K |
| 64494 |
|
84 |
84 |
$4K |
| 62321 |
|
53 |
51 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
39 |
39 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$762.09 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
26 |
26 |
$365.86 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
13 |
13 |
$285.18 |
| 80305 |
|
26 |
25 |
$283.46 |