| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,052 |
3,368 |
$202K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,388 |
4,401 |
$177K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,765 |
1,600 |
$149K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,698 |
2,341 |
$147K |
| 20610 |
|
840 |
700 |
$26K |
| 73630 |
|
1,363 |
1,058 |
$21K |
| 73110 |
|
538 |
399 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
366 |
303 |
$8K |
| 73564 |
|
376 |
248 |
$6K |
| 73610 |
|
227 |
187 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
89 |
84 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
16 |
12 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
15 |
14 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
235 |
194 |
$854.46 |
| 11720 |
|
141 |
125 |
$826.83 |
| 99215 |
Prolong outpt/office vis |
16 |
12 |
$722.59 |
| 11721 |
|
38 |
37 |
$397.29 |
| 73502 |
|
16 |
12 |
$301.41 |
| 73560 |
|
22 |
16 |
$299.24 |
| 73030 |
|
15 |
13 |
$299.18 |
| 73140 |
|
25 |
13 |
$286.56 |
| 73130 |
|
17 |
13 |
$268.46 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
47 |
28 |
$1.06 |
| 99024 |
|
132 |
90 |
$0.00 |