| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
619 |
503 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
762 |
628 |
$13K |
| 62323 |
|
116 |
78 |
$8K |
| 95886 |
|
88 |
71 |
$4K |
| 95911 |
|
50 |
40 |
$3K |
| 80305 |
|
385 |
312 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
229 |
132 |
$755.96 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
13 |
$686.81 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
19 |
12 |
$2.16 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
20 |
13 |
$0.00 |