| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 10061 |
|
95 |
75 |
$17K |
| 17360 |
|
127 |
109 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
107 |
99 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42 |
40 |
$5K |
| 10040 |
|
51 |
49 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
20 |
20 |
$2K |
| 17110 |
|
20 |
19 |
$2K |
| 11900 |
|
41 |
40 |
$1K |
| 11102 |
|
14 |
14 |
$954.27 |
| J3303 |
Injection, triamcinolone hexacetonide, per 5 mg |
32 |
30 |
$240.90 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
24 |
22 |
$24.48 |