| Code | Description | Claims | Bene. Records | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,581 |
2,965 |
$134K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,130 |
963 |
$107K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,134 |
1,853 |
$103K |
| 95886 |
|
691 |
566 |
$52K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
810 |
690 |
$49K |
| 95909 |
|
134 |
110 |
$10K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
405 |
334 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
208 |
163 |
$2K |
| 95911 |
|
15 |
12 |
$1K |
| 73120 |
|
43 |
25 |
$570.78 |
| 73140 |
|
68 |
43 |
$411.80 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
14 |
12 |
$347.50 |
| 64721 |
|
48 |
27 |
$0.00 |
| 20550 |
|
20 |
12 |
$0.00 |
| 73100 |
|
70 |
56 |
$0.00 |
| 73130 |
|
25 |
24 |
$0.00 |