| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,817 |
5,061 |
$169K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,744 |
1,564 |
$35K |
| 99215 |
Prolong outpt/office vis |
405 |
369 |
$21K |
| 99205 |
Prolong outpt/office vis |
123 |
118 |
$10K |
| 80305 |
|
1,855 |
1,710 |
$9K |
| 20610 |
|
175 |
117 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
38 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
19 |
18 |
$1K |
| 64493 |
|
33 |
25 |
$741.63 |
| 99441 |
|
27 |
18 |
$379.19 |
| 64494 |
|
34 |
26 |
$366.06 |
| J3300 |
Injection, triamcinolone acetonide, preservative free, 1 mg |
72 |
60 |
$178.67 |
| 64495 |
|
17 |
12 |
$148.39 |
| 95886 |
|
13 |
12 |
$128.22 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
770 |
559 |
$33.59 |
| 99484 |
|
134 |
108 |
$9.01 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
441 |
318 |
$1.95 |