| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
425 |
397 |
$16K |
| 73130 |
|
68 |
59 |
$2K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
290 |
283 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 20526 |
|
61 |
61 |
$653.11 |
| 20550 |
|
57 |
47 |
$399.69 |
| 20610 |
|
27 |
25 |
$329.62 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
26 |
25 |
$7.42 |