| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,497 |
1,299 |
$103K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,199 |
1,652 |
$84K |
| 31237 |
|
101 |
50 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
256 |
219 |
$10K |
| 76377 |
|
212 |
155 |
$7K |
| 69210 |
|
229 |
193 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
119 |
103 |
$4K |
| 70486 |
|
88 |
80 |
$4K |
| 92511 |
|
39 |
38 |
$3K |
| 31231 |
|
31 |
24 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
790 |
520 |
$3K |
| 95117 |
|
190 |
66 |
$1K |
| 92567 |
|
80 |
65 |
$679.37 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
360 |
301 |
$462.14 |
| 92557 |
|
19 |
13 |
$345.66 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
126 |
103 |
$182.19 |
| 20552 |
|
14 |
14 |
$129.25 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
68 |
44 |
$33.12 |
| J3490 |
Unclassified drugs |
17 |
13 |
$17.20 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
50 |
42 |
$15.32 |
| 99024 |
|
194 |
105 |
$0.00 |