| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,642 |
4,638 |
$563K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,493 |
3,331 |
$328K |
| 17110 |
|
1,511 |
1,177 |
$184K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
939 |
923 |
$128K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
407 |
407 |
$73K |
| 11102 |
|
45 |
45 |
$5K |
| 11900 |
|
28 |
27 |
$2K |
| 11901 |
|
13 |
12 |
$951.10 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
413 |
396 |
$945.36 |
| G9276 |
Documentation that patient is a current tobacco user |
25 |
25 |
$0.00 |
| 1036F |
|
2,459 |
2,456 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
4,068 |
4,063 |
$0.00 |
| 1000F |
|
2,752 |
2,749 |
$0.00 |