| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,115 |
1,054 |
$72K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,597 |
1,456 |
$57K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
970 |
898 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
276 |
268 |
$13K |
| 20610 |
|
341 |
302 |
$12K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
192 |
182 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
65 |
53 |
$2K |
| 73564 |
|
90 |
87 |
$2K |
| 72100 |
|
86 |
84 |
$2K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
91 |
80 |
$2K |
| 99205 |
Prolong outpt/office vis |
15 |
15 |
$1K |
| 72170 |
|
56 |
55 |
$1K |
| 73610 |
|
59 |
55 |
$995.55 |
| 73630 |
|
30 |
28 |
$552.55 |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$513.80 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
27 |
24 |
$124.07 |
| 80053 |
Comprehensive metabolic panel |
12 |
12 |
$88.70 |