| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,123 |
830 |
$47K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,163 |
1,890 |
$46K |
| 11750 |
|
67 |
25 |
$2K |
| 73630 |
|
215 |
113 |
$2K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
39 |
12 |
$1K |
| 20550 |
|
25 |
13 |
$462.85 |
| 3078F |
|
2,985 |
1,551 |
$210.56 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
39 |
12 |
$162.58 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
57 |
37 |
$139.34 |
| 3075F |
|
1,592 |
791 |
$110.00 |
| 3077F |
|
719 |
357 |
$100.55 |
| 3074F |
|
1,128 |
708 |
$70.00 |
| 3079F |
|
644 |
354 |
$60.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
99 |
61 |
$24.87 |
| 1160F |
|
477 |
310 |
$0.00 |
| 1159F |
|
2,631 |
1,394 |
$0.00 |
| 3008F |
|
183 |
106 |
$0.00 |
| 1126F |
|
86 |
37 |
$0.00 |