| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,204 |
1,173 |
$68K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
646 |
619 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
540 |
506 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
581 |
527 |
$20K |
| 73110 |
|
906 |
687 |
$17K |
| 64721 |
|
14 |
12 |
$4K |
| 73130 |
|
127 |
102 |
$2K |
| 73030 |
|
114 |
94 |
$2K |
| 73140 |
|
87 |
63 |
$1K |
| 20610 |
|
32 |
28 |
$1K |
| A4590 |
Special casting material (e.g., fiberglass) |
141 |
124 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
172 |
161 |
$132.72 |
| 99024 |
|
718 |
559 |
$0.00 |