| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38,568 |
17,503 |
$2.00M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,848 |
6,177 |
$450K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
210 |
205 |
$26K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
234 |
206 |
$7K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
252 |
169 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
31 |
$2K |
| 20552 |
|
35 |
26 |
$2K |
| 20553 |
|
17 |
13 |
$1K |
| 99401 |
|
25 |
13 |
$878.66 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$873.60 |
| 90688 |
|
12 |
12 |
$480.60 |
| 90686 |
|
12 |
12 |
$409.24 |