| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,170 |
16,982 |
$591K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,380 |
3,806 |
$261K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,180 |
2,796 |
$172K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,778 |
1,643 |
$153K |
| 73630 |
|
2,552 |
1,588 |
$41K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,679 |
1,271 |
$25K |
| 20610 |
|
947 |
588 |
$18K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
514 |
395 |
$14K |
| 95886 |
|
186 |
181 |
$11K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
711 |
548 |
$6K |
| 73610 |
|
223 |
188 |
$5K |
| 72100 |
|
69 |
64 |
$1K |
| 11721 |
|
328 |
315 |
$1K |
| 95911 |
|
15 |
15 |
$1K |
| 29425 |
|
30 |
25 |
$884.63 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
188 |
87 |
$790.68 |
| 73562 |
|
35 |
29 |
$754.00 |
| 73564 |
|
16 |
12 |
$272.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
71 |
48 |
$59.97 |
| Q4038 |
Cast supplies, short leg cast, adult (11 years +), fiberglass |
15 |
14 |
$0.00 |