| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,766 |
1,473 |
$69K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
645 |
555 |
$60K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
443 |
355 |
$28K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
330 |
286 |
$15K |
| 62323 |
|
98 |
82 |
$11K |
| 72100 |
|
83 |
66 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
159 |
136 |
$511.02 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
327 |
270 |
$185.42 |
| A4550 |
Surgical trays |
905 |
712 |
$0.00 |