| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 20610 |
|
485 |
347 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
450 |
412 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
160 |
124 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
111 |
97 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
162 |
122 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
258 |
243 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
41 |
41 |
$967.11 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
45 |
40 |
$866.69 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
87 |
52 |
$581.49 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
66 |
58 |
$405.77 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
27 |
25 |
$383.57 |
| 73562 |
|
47 |
37 |
$382.45 |
| 73030 |
|
15 |
15 |
$166.50 |
| 1159F |
|
280 |
247 |
$0.00 |
| 3078F |
|
277 |
255 |
$0.00 |
| 1160F |
|
447 |
406 |
$0.00 |
| 3074F |
|
160 |
147 |
$0.00 |
| 3008F |
|
408 |
370 |
$0.00 |
| 1036F |
|
168 |
151 |
$0.00 |
| 1034F |
|
14 |
13 |
$0.00 |