| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
102 |
92 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
114 |
108 |
$5K |
| 17360 |
|
56 |
51 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$2K |
| 11901 |
|
37 |
32 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$908.00 |
| 11900 |
|
43 |
37 |
$781.90 |
| 10040 |
|
12 |
12 |
$370.24 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
154 |
136 |
$151.26 |