| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,998 |
5,671 |
$390K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,138 |
1,091 |
$53K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
456 |
444 |
$41K |
| 99484 |
|
1,385 |
1,303 |
$37K |
| 64483 |
|
29 |
25 |
$6K |
| 20553 |
|
30 |
29 |
$2K |
| 99152 |
|
13 |
13 |
$392.39 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
73 |
59 |
$339.52 |
| 96127 |
|
62 |
59 |
$226.99 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
18 |
18 |
$26.39 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
183 |
175 |
$21.20 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
13 |
13 |
$0.88 |