| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,013 |
6,375 |
$225K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,864 |
1,523 |
$79K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,339 |
1,031 |
$66K |
| 20610 |
|
2,926 |
1,902 |
$62K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
361 |
238 |
$27K |
| J3304 |
Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg |
61 |
51 |
$20K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
1,658 |
1,278 |
$6K |
| 72110 |
|
268 |
199 |
$5K |
| 99199 |
Unlisted special service, procedure or report |
574 |
574 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
66 |
57 |
$3K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
21 |
13 |
$2K |
| 99243 |
|
13 |
13 |
$1K |
| 73564 |
|
73 |
57 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
98 |
37 |
$693.14 |
| 73110 |
|
30 |
12 |
$356.45 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
100 |
74 |
$172.51 |
| 72100 |
|
14 |
14 |
$160.62 |
| 74022 |
|
12 |
12 |
$109.30 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
15 |
14 |
$63.03 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
61 |
37 |
$7.14 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
172 |
86 |
$0.21 |
| 99024 |
|
32 |
16 |
$0.00 |