| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,126 |
2,942 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,009 |
555 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
146 |
89 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,224 |
1,140 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
166 |
133 |
$1K |
| 64450 |
|
324 |
100 |
$454.95 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
190 |
80 |
$17.20 |
| 97597 |
|
15 |
12 |
$0.00 |
| 73620 |
|
43 |
27 |
$0.00 |