| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,377 |
1,798 |
$181K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,036 |
3,613 |
$159K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,077 |
1,794 |
$118K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
840 |
751 |
$101K |
| 20610 |
|
4,414 |
2,087 |
$91K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
4,157 |
1,986 |
$16K |
| 73560 |
|
1,366 |
886 |
$9K |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
470 |
341 |
$4K |
| A4927 |
Gloves, non-sterile, per 100 |
3,662 |
1,698 |
$1K |
| 73030 |
|
150 |
121 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
51 |
45 |
$596.01 |
| A4215 |
Needle, sterile, any size, each |
3,868 |
1,823 |
$138.46 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
4,357 |
2,045 |
$120.26 |
| A4209 |
Syringe with needle, sterile 5 cc or greater, each |
3,459 |
1,764 |
$32.45 |
| A4930 |
Gloves, sterile, per pair |
1,557 |
387 |
$6.97 |