| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,263 |
3,240 |
$200K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,131 |
2,129 |
$197K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,018 |
3,861 |
$185K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,243 |
1,207 |
$85K |
| 99223 |
Prolong inpt eval add15 m |
390 |
384 |
$40K |
| 73610 |
|
1,452 |
1,345 |
$29K |
| 99222 |
Initial hospital care, per day, moderate complexity |
344 |
341 |
$25K |
| 73110 |
|
634 |
545 |
$14K |
| 73564 |
|
483 |
412 |
$12K |
| 20610 |
|
357 |
305 |
$12K |
| 73030 |
|
285 |
263 |
$5K |
| 73590 |
|
287 |
265 |
$5K |
| 73502 |
|
182 |
178 |
$5K |
| 73562 |
|
180 |
169 |
$4K |
| 73552 |
|
136 |
131 |
$3K |
| 73080 |
|
103 |
88 |
$2K |
| 73630 |
|
79 |
74 |
$2K |
| 72170 |
|
67 |
67 |
$1K |
| 73090 |
|
46 |
40 |
$800.78 |
| 77073 |
|
24 |
24 |
$635.11 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
82 |
82 |
$614.85 |
| 29125 |
|
12 |
12 |
$460.50 |
| 92557 |
|
14 |
14 |
$309.77 |
| 92567 |
|
31 |
31 |
$283.62 |
| 73600 |
|
12 |
12 |
$222.97 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
24 |
24 |
$108.77 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
12 |
12 |
$106.24 |
| 99024 |
|
2,889 |
2,577 |
$0.00 |
| 1126F |
|
792 |
762 |
$0.00 |
| 3074F |
|
513 |
485 |
$0.00 |
| 1034F |
|
298 |
274 |
$0.00 |
| 3008F |
|
1,717 |
1,583 |
$0.00 |
| 1036F |
|
1,232 |
1,106 |
$0.00 |
| 1125F |
|
574 |
525 |
$0.00 |
| 3079F |
|
111 |
108 |
$0.00 |
| 1159F |
|
1,191 |
1,115 |
$0.00 |
| 1160F |
|
1,192 |
1,115 |
$0.00 |
| 3078F |
|
286 |
272 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |