| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,212 |
4,401 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
749 |
747 |
$3K |
| 17111 |
|
243 |
222 |
$2K |
| 11102 |
|
202 |
196 |
$1K |
| 17110 |
|
295 |
277 |
$1K |
| 96910 |
|
103 |
24 |
$625.88 |
| 11900 |
|
459 |
335 |
$287.46 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
133 |
133 |
$173.93 |
| 17000 |
|
48 |
43 |
$90.44 |
| 11901 |
|
361 |
310 |
$77.03 |
| 17003 |
|
17 |
16 |
$2.52 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
174 |
139 |
$0.00 |
| 11100 |
|
13 |
12 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
415 |
375 |
$0.00 |
| 10040 |
|
34 |
27 |
$0.00 |
| 17360 |
|
103 |
77 |
$0.00 |