| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,919 |
3,056 |
$162K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,133 |
1,638 |
$48K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
153 |
113 |
$11K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
292 |
198 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
12 |
$627.39 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
107 |
88 |
$298.90 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
86 |
52 |
$163.81 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
16 |
12 |
$35.90 |