| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,184 |
17,756 |
$691K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
10,414 |
9,259 |
$595K |
| 17110 |
|
2,893 |
2,337 |
$148K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,890 |
2,673 |
$124K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,395 |
4,663 |
$114K |
| 11102 |
|
2,524 |
1,986 |
$97K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,991 |
1,793 |
$93K |
| 96910 |
|
1,189 |
807 |
$39K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
275 |
266 |
$25K |
| 11900 |
|
1,102 |
794 |
$25K |
| 10060 |
|
412 |
326 |
$24K |
| 96900 |
|
1,976 |
1,399 |
$21K |
| 11104 |
|
187 |
148 |
$12K |
| 11100 |
|
274 |
228 |
$10K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
66 |
57 |
$9K |
| 11901 |
|
195 |
158 |
$6K |
| 17004 |
|
61 |
42 |
$4K |
| 17111 |
|
51 |
40 |
$3K |
| 95117 |
|
229 |
115 |
$2K |
| 11303 |
|
40 |
29 |
$2K |
| 17000 |
|
36 |
24 |
$642.86 |
| 11101 |
|
15 |
15 |
$391.10 |
| 11103 |
|
13 |
13 |
$273.33 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
620 |
352 |
$38.41 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
141 |
133 |
$0.00 |