| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
806 |
630 |
$116K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,073 |
784 |
$72K |
| 11104 |
|
1,588 |
1,053 |
$51K |
| 17004 |
|
1,441 |
877 |
$44K |
| 17111 |
|
475 |
358 |
$29K |
| 95044 |
|
328 |
255 |
$19K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,850 |
1,208 |
$14K |
| 10061 |
|
156 |
116 |
$13K |
| 11105 |
|
759 |
531 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
707 |
508 |
$5K |
| 11422 |
|
20 |
13 |
$2K |
| 17110 |
|
21 |
15 |
$615.00 |
| 17000 |
|
35 |
26 |
$455.02 |
| 11100 |
|
143 |
108 |
$93.00 |
| 17003 |
|
35 |
25 |
$25.62 |
| 11101 |
|
50 |
40 |
$0.00 |
| 96574 |
|
37 |
33 |
$0.00 |
| 96567 |
|
75 |
41 |
$0.00 |
| J7308 |
Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) |
115 |
76 |
$0.00 |