| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,676 |
5,656 |
$189K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,599 |
1,595 |
$40K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
567 |
567 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
197 |
197 |
$6K |
| 20553 |
|
95 |
95 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
146 |
144 |
$458.31 |
| 99442 |
|
40 |
40 |
$169.57 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
101 |
101 |
$48.72 |
| 99406 |
|
16 |
15 |
$27.69 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
529 |
529 |
$0.00 |