| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,309 |
5,043 |
$243K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,032 |
2,887 |
$198K |
| 64483 |
|
467 |
454 |
$77K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
116 |
116 |
$12K |
| 64493 |
|
29 |
25 |
$4K |
| 62321 |
|
25 |
24 |
$4K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
71 |
25 |
$3K |
| 72110 |
|
57 |
56 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,198 |
1,146 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 20610 |
|
31 |
28 |
$895.03 |
| 95886 |
|
12 |
12 |
$642.59 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
75 |
69 |
$601.50 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$591.53 |
| A4550 |
Surgical trays |
1,558 |
1,477 |
$0.55 |