| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
309 |
174 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
49 |
39 |
$3K |
| 20610 |
|
118 |
69 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
77 |
50 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
22 |
13 |
$1K |
| 73030 |
|
99 |
54 |
$611.90 |
| 73110 |
|
25 |
12 |
$300.63 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
66 |
40 |
$129.63 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
42 |
24 |
$68.88 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
43 |
25 |
$4.24 |