| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,793 |
1,478 |
$84K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
174 |
155 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
311 |
252 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
58 |
55 |
$5K |
| 20610 |
|
243 |
198 |
$2K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
533 |
437 |
$401.77 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
505 |
433 |
$204.54 |
| 73562 |
|
43 |
25 |
$133.10 |
| 1036F |
|
50 |
39 |
$0.00 |