| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,695 |
1,449 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
228 |
204 |
$11K |
| 80305 |
|
307 |
250 |
$1K |
| 64493 |
|
37 |
29 |
$1K |
| 20610 |
|
55 |
37 |
$573.11 |
| 64494 |
|
37 |
29 |
$525.48 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
13 |
$500.26 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$379.24 |
| 95886 |
|
13 |
12 |
$239.17 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
409 |
304 |
$17.22 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
575 |
430 |
$2.16 |