| Code | Description | Claims | Beneficiaries | Total Paid |
| 64635 |
|
1,195 |
886 |
$228K |
| 64636 |
|
1,194 |
884 |
$188K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,886 |
2,606 |
$137K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,472 |
4,712 |
$132K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
865 |
804 |
$99K |
| 77003 |
|
2,213 |
1,834 |
$96K |
| 64493 |
|
889 |
811 |
$71K |
| 64483 |
|
210 |
195 |
$36K |
| 64494 |
|
887 |
809 |
$34K |
| 64495 |
|
831 |
758 |
$32K |
| 64484 |
|
210 |
195 |
$17K |
| 99243 |
|
77 |
75 |
$6K |
| 27096 |
|
67 |
52 |
$6K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
963 |
809 |
$5K |
| 77002 |
|
127 |
90 |
$4K |
| 20552 |
|
130 |
100 |
$3K |
| 20553 |
|
170 |
131 |
$3K |
| 20610 |
|
56 |
37 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34 |
27 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
61 |
58 |
$680.91 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
632 |
588 |
$57.40 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
129 |
107 |
$0.00 |