| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,598 |
4,197 |
$352K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
789 |
624 |
$79K |
| 11102 |
|
218 |
170 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
116 |
104 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
58 |
54 |
$4K |
| 11103 |
|
37 |
27 |
$2K |
| 11104 |
|
17 |
13 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
17 |
12 |
$11.69 |
| 99000 |
|
90 |
68 |
$0.00 |