| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,138 |
1,102 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
327 |
327 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$811.67 |
| 20550 |
|
34 |
28 |
$119.81 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
15 |
14 |
$20.79 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
12 |
12 |
$9.88 |