| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,595 |
2,442 |
$175K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,315 |
3,095 |
$166K |
| 20553 |
|
949 |
867 |
$26K |
| 95886 |
|
252 |
231 |
$9K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,097 |
1,031 |
$6K |
| 72110 |
|
204 |
185 |
$5K |
| 76942 |
|
133 |
129 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
123 |
116 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
91 |
88 |
$3K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
15 |
12 |
$1K |
| 20552 |
|
27 |
26 |
$797.36 |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$743.92 |
| 72100 |
|
26 |
25 |
$508.43 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
201 |
170 |
$159.80 |
| 97813 |
|
17 |
12 |
$148.64 |
| 3008F |
|
3,685 |
3,396 |
$0.00 |
| 3066F |
|
256 |
242 |
$0.00 |
| 3075F |
|
37 |
37 |
$0.00 |
| 3074F |
|
809 |
748 |
$0.00 |
| 4010F |
|
25 |
25 |
$0.00 |
| 3079F |
|
267 |
252 |
$0.00 |
| 3080F |
|
74 |
68 |
$0.00 |
| 99024 |
|
27 |
12 |
$0.00 |
| 3078F |
|
417 |
381 |
$0.00 |
| 3077F |
|
26 |
26 |
$0.00 |