| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,469 |
2,962 |
$136K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,852 |
1,566 |
$106K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
272 |
257 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
309 |
280 |
$19K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
256 |
223 |
$10K |
| 20610 |
|
48 |
39 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
48 |
43 |
$1K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
15 |
12 |
$209.10 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
18 |
14 |
$48.61 |
| 3078F |
|
320 |
278 |
$25.00 |
| 1159F |
|
1,016 |
897 |
$25.00 |
| 1125F |
|
849 |
762 |
$25.00 |
| J3490 |
Unclassified drugs |
17 |
15 |
$3.97 |
| 3077F |
|
30 |
28 |
$0.00 |
| 1160F |
|
32 |
30 |
$0.00 |
| 3074F |
|
665 |
587 |
$0.00 |
| 3079F |
|
422 |
387 |
$0.00 |
| 1126F |
|
48 |
43 |
$0.00 |
| 3080F |
|
57 |
53 |
$0.00 |