| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
639 |
602 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
766 |
724 |
$28K |
| 20610 |
|
201 |
162 |
$5K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
348 |
289 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$2K |
| 73564 |
|
14 |
14 |
$188.64 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
272 |
226 |
$187.10 |