| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
720 |
709 |
$21K |
| 20610 |
|
341 |
310 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
37 |
37 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
167 |
165 |
$810.40 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$681.72 |
| 73565 |
|
29 |
29 |
$586.74 |
| 73560 |
|
26 |
18 |
$542.86 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
26 |
13 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
31 |
31 |
$0.00 |