| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
628 |
586 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
161 |
145 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
29 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
13 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
13 |
$1K |
| 99221 |
|
12 |
12 |
$946.79 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
15 |
12 |
$388.69 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
41 |
40 |
$44.47 |