| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,424 |
3,197 |
$138K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,360 |
1,357 |
$98K |
| 20611 |
|
849 |
620 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
171 |
166 |
$10K |
| 73030 |
|
377 |
327 |
$7K |
| 73564 |
|
351 |
279 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
99 |
97 |
$6K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
715 |
554 |
$3K |
| 99072 |
|
194 |
168 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
28 |
$1K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
78 |
42 |
$583.98 |
| 20610 |
|
15 |
13 |
$333.99 |
| 73562 |
|
13 |
12 |
$226.74 |
| 73610 |
|
16 |
14 |
$212.58 |
| 76000 |
|
13 |
13 |
$49.69 |
| 99024 |
|
183 |
173 |
$0.00 |