| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,682 |
9,081 |
$384K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,096 |
2,873 |
$174K |
| 27096 |
|
627 |
537 |
$70K |
| 99152 |
|
2,068 |
1,732 |
$49K |
| 20610 |
|
431 |
311 |
$11K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,049 |
906 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
53 |
53 |
$5K |
| 64493 |
|
20 |
13 |
$3K |
| 64495 |
|
19 |
12 |
$1K |
| 64494 |
|
19 |
12 |
$1K |
| 99490 |
Ccm add 20min |
49 |
49 |
$454.73 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
16 |
$242.88 |
| 80305 |
|
147 |
130 |
$135.17 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
39 |
33 |
$6.46 |
| 94761 |
|
83 |
68 |
$3.76 |
| 1006F |
|
50 |
42 |
$0.00 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
17 |
15 |
$0.00 |