| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
250 |
240 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
274 |
261 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
439 |
424 |
$13K |
| 64483 |
|
51 |
50 |
$5K |
| 72110 |
|
40 |
40 |
$1K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
20 |
14 |
$377.31 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
37 |
36 |
$54.94 |