| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,240 |
2,200 |
$205K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,454 |
4,059 |
$181K |
| 20610 |
|
2,183 |
1,686 |
$82K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,069 |
1,016 |
$71K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
438 |
431 |
$64K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
2,221 |
1,957 |
$32K |
| 73560 |
|
1,026 |
865 |
$19K |
| 73030 |
|
151 |
139 |
$3K |
| A4927 |
Gloves, non-sterile, per 100 |
1,709 |
1,307 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
41 |
41 |
$642.61 |
| 72100 |
|
25 |
25 |
$570.20 |
| A4215 |
Needle, sterile, any size, each |
1,673 |
1,274 |
$545.96 |
| A4209 |
Syringe with needle, sterile 5 cc or greater, each |
1,573 |
1,214 |
$53.73 |
| A4930 |
Gloves, sterile, per pair |
456 |
385 |
$5.24 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
94 |
62 |
$5.20 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
1,973 |
1,566 |
$0.02 |
| J3490 |
Unclassified drugs |
44 |
39 |
$0.00 |