| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,032 |
8,018 |
$288K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,215 |
2,928 |
$167K |
| 20611 |
|
3,058 |
1,789 |
$104K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,450 |
1,992 |
$100K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,271 |
1,109 |
$95K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
3,473 |
2,691 |
$58K |
| 73562 |
|
279 |
211 |
$4K |
| 73110 |
|
112 |
85 |
$2K |
| 73610 |
|
94 |
74 |
$1K |
| 20610 |
|
25 |
16 |
$851.39 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
38 |
33 |
$620.25 |
| 73100 |
|
39 |
29 |
$587.89 |
| 73030 |
|
57 |
45 |
$570.19 |
| 73560 |
|
33 |
24 |
$417.06 |
| 73140 |
|
17 |
12 |
$251.87 |
| 73600 |
|
14 |
12 |
$193.85 |
| 73630 |
|
14 |
12 |
$192.97 |