| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,059 |
1,894 |
$169K |
| 64483 |
|
219 |
139 |
$31K |
| 64484 |
|
214 |
136 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
382 |
347 |
$20K |
| 20553 |
|
317 |
280 |
$13K |
| 80305 |
|
1,449 |
1,163 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
81 |
73 |
$9K |
| 76942 |
|
70 |
58 |
$5K |
| 62321 |
|
30 |
27 |
$3K |
| 20610 |
|
57 |
52 |
$2K |
| 64493 |
|
21 |
12 |
$2K |
| J0735 |
Injection, clonidine hydrochloride, 1 mg |
159 |
140 |
$2K |
| 99408 |
|
30 |
30 |
$920.00 |
| 64494 |
|
21 |
12 |
$832.01 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
18 |
$498.16 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
188 |
128 |
$295.06 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
522 |
393 |
$36.60 |
| 96119 |
|
30 |
30 |
$0.00 |