| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,964 |
1,537 |
$77K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,096 |
1,742 |
$70K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
422 |
386 |
$43K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
191 |
157 |
$11K |
| 99199 |
Unlisted special service, procedure or report |
1,205 |
1,205 |
$4K |
| 20611 |
|
103 |
45 |
$565.13 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
20 |
$361.44 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
94 |
56 |
$64.39 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
13 |
13 |
$58.24 |
| 3079F |
|
46 |
24 |
$0.00 |
| 1125F |
|
114 |
54 |
$0.00 |
| 1159F |
|
124 |
58 |
$0.00 |