| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,148 |
1,102 |
$61K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
704 |
688 |
$54K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
293 |
293 |
$29K |
| 99205 |
Prolong outpt/office vis |
75 |
75 |
$9K |
| 80305 |
|
906 |
883 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
61 |
61 |
$4K |
| 62323 |
|
15 |
15 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
153 |
150 |
$151.91 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
26 |
24 |
$81.92 |