| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,829 |
4,168 |
$378K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,076 |
958 |
$118K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,654 |
1,535 |
$80K |
| J3315 |
Injection, triptorelin pamoate, 3.75 mg |
69 |
66 |
$57K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
263 |
263 |
$19K |
| 96402 |
|
100 |
92 |
$3K |