| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
378 |
351 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
228 |
203 |
$7K |
| 20610 |
|
83 |
66 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
32 |
26 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
47 |
40 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
234 |
204 |
$1K |
| 73562 |
|
17 |
15 |
$305.28 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
31 |
26 |
$12.16 |
| 99024 |
|
178 |
148 |
$0.00 |