| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
816 |
798 |
$65K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,111 |
1,099 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
506 |
500 |
$26K |
| 62323 |
|
118 |
118 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
63 |
62 |
$4K |
| 64493 |
|
29 |
28 |
$2K |
| 64483 |
|
15 |
15 |
$921.43 |
| 3288F |
|
1,939 |
1,910 |
$0.00 |
| 3078F |
|
55 |
55 |
$0.00 |
| 4010F |
|
139 |
134 |
$0.00 |
| 3061F |
|
279 |
271 |
$0.00 |
| 3079F |
|
18 |
16 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$0.00 |