| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,858 |
2,397 |
$107K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
498 |
455 |
$32K |
| 20610 |
|
82 |
59 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
14 |
$2K |
| 72100 |
|
59 |
50 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$315.30 |
| 73560 |
|
13 |
12 |
$309.74 |
| 29505 |
|
16 |
13 |
$260.68 |
| 76000 |
|
29 |
24 |
$56.16 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
52 |
43 |
$4.15 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
21 |
17 |
$0.04 |