| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
174 |
153 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
660 |
576 |
$44K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
720 |
593 |
$37K |
| 20610 |
|
779 |
553 |
$3K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
675 |
527 |
$155.80 |
| J0670 |
Injection, mepivacaine hydrochloride, per 10 ml |
58 |
41 |
$0.00 |