| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,793 |
1,481 |
$141K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
105 |
105 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
24 |
$3K |
| 77002 |
|
12 |
12 |
$2K |
| 20611 |
|
14 |
12 |
$1K |
| 20610 |
|
13 |
13 |
$915.33 |
| 20553 |
|
12 |
12 |
$532.16 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
227 |
212 |
$310.89 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
143 |
133 |
$109.27 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
35 |
32 |
$0.00 |