| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,527 |
1,929 |
$76K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,950 |
1,641 |
$44K |
| 64635 |
|
130 |
93 |
$34K |
| 64493 |
|
310 |
244 |
$27K |
| 64636 |
|
114 |
80 |
$21K |
| 20610 |
|
464 |
352 |
$16K |
| 80305 |
|
3,731 |
2,938 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
391 |
289 |
$15K |
| 64494 |
|
317 |
243 |
$9K |
| 27096 |
|
18 |
14 |
$3K |
| 64490 |
|
30 |
24 |
$3K |
| 77002 |
|
178 |
148 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
31 |
27 |
$2K |
| 64495 |
|
41 |
24 |
$1K |
| 64491 |
|
16 |
12 |
$679.80 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
236 |
170 |
$32.78 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
466 |
385 |
$0.23 |