| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,174 |
1,171 |
$63K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
753 |
719 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,031 |
1,010 |
$23K |
| 20610 |
|
159 |
86 |
$4K |
| 73130 |
|
167 |
139 |
$3K |
| 73610 |
|
228 |
211 |
$3K |
| 76942 |
|
108 |
95 |
$3K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
46 |
46 |
$3K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
172 |
154 |
$2K |
| J7323 |
Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose |
101 |
58 |
$2K |
| 73564 |
|
244 |
215 |
$2K |
| 73110 |
|
90 |
81 |
$1K |
| 73562 |
|
166 |
164 |
$759.23 |
| 73630 |
|
53 |
48 |
$404.85 |
| 20550 |
|
13 |
13 |
$387.25 |
| 72100 |
|
26 |
26 |
$301.45 |
| Q4010 |
Cast supplies, short arm cast, adult (11 years +), fiberglass |
13 |
12 |
$97.95 |