| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
474 |
410 |
$29K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
106 |
98 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
133 |
106 |
$6K |
| 73564 |
|
197 |
144 |
$3K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
17 |
14 |
$100.85 |
| 3008F |
|
82 |
70 |
$0.00 |
| 1036F |
|
48 |
41 |
$0.00 |
| 1125F |
|
34 |
29 |
$0.00 |
| 1160F |
|
119 |
99 |
$0.00 |
| 1159F |
|
70 |
59 |
$0.00 |