| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
241 |
206 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
160 |
133 |
$8K |
| 20610 |
|
162 |
115 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
268 |
248 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
130 |
124 |
$5K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
79 |
68 |
$937.55 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
79 |
67 |
$523.30 |
| 3008F |
|
228 |
175 |
$0.00 |
| 1036F |
|
63 |
52 |
$0.00 |
| 1160F |
|
246 |
184 |
$0.00 |
| 1159F |
|
242 |
184 |
$0.00 |