| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95886 |
|
288 |
287 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
377 |
364 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
362 |
359 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
124 |
124 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
135 |
135 |
$9K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
13 |
$1K |
| 64483 |
|
12 |
12 |
$905.46 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
30 |
29 |
$622.19 |