| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,273 |
2,191 |
$219K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,155 |
1,111 |
$75K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
476 |
468 |
$71K |
| 99152 |
|
574 |
514 |
$21K |
| 64635 |
|
50 |
43 |
$10K |
| 64483 |
|
65 |
58 |
$7K |
| 64636 |
|
49 |
42 |
$5K |
| 64493 |
|
28 |
28 |
$3K |
| 20610 |
|
39 |
39 |
$2K |
| 64494 |
|
28 |
28 |
$2K |
| 64479 |
|
13 |
13 |
$2K |
| 64495 |
|
15 |
15 |
$1K |
| 64484 |
|
14 |
13 |
$666.89 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
55 |
55 |
$351.68 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
55 |
55 |
$243.32 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
107 |
105 |
$132.29 |