| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95886 |
|
994 |
941 |
$99K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,213 |
1,179 |
$55K |
| 95912 |
|
157 |
156 |
$35K |
| 95910 |
|
205 |
203 |
$33K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
236 |
232 |
$25K |
| 62323 |
|
207 |
201 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
267 |
263 |
$18K |
| 95909 |
|
91 |
90 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
41 |
$3K |
| 95911 |
|
13 |
12 |
$3K |
| 20552 |
|
70 |
69 |
$2K |
| 62321 |
|
14 |
14 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,868 |
1,790 |
$70.95 |
| J3490 |
Unclassified drugs |
168 |
154 |
$17.84 |
| A4550 |
Surgical trays |
684 |
645 |
$0.00 |