| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,327 |
1,326 |
$169K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,897 |
1,861 |
$108K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,159 |
1,132 |
$97K |
| 73562 |
|
751 |
639 |
$22K |
| 20610 |
|
73 |
64 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
28 |
$3K |
| 73030 |
|
39 |
38 |
$899.67 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
28 |
28 |
$38.52 |
| J3490 |
Unclassified drugs |
25 |
25 |
$0.40 |