| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,033 |
2,157 |
$65K |
| 10040 |
|
682 |
511 |
$19K |
| 11102 |
|
554 |
444 |
$13K |
| 17004 |
|
1,548 |
1,034 |
$10K |
| 17110 |
|
514 |
377 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
166 |
165 |
$7K |
| 11901 |
|
829 |
533 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
57 |
43 |
$1K |
| 17111 |
|
46 |
31 |
$855.25 |
| 11900 |
|
81 |
62 |
$839.16 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
713 |
471 |
$554.37 |
| 17003 |
|
51 |
39 |
$422.26 |
| 17000 |
|
53 |
40 |
$134.55 |
| 11100 |
|
90 |
74 |
$19.26 |
| 11101 |
|
14 |
13 |
$0.00 |