| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
947 |
840 |
$44K |
| 10060 |
|
569 |
555 |
$29K |
| 11730 |
|
803 |
788 |
$27K |
| 11721 |
|
1,545 |
1,531 |
$24K |
| 11305 |
|
446 |
430 |
$14K |
| 11306 |
|
280 |
273 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
107 |
107 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
69 |
69 |
$4K |
| 73630 |
|
198 |
151 |
$4K |
| 17111 |
|
57 |
53 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
52 |
52 |
$3K |
| 11057 |
|
75 |
75 |
$2K |
| 10061 |
|
25 |
25 |
$2K |
| 17110 |
|
27 |
24 |
$959.61 |
| 29581 |
|
18 |
14 |
$756.63 |
| 11421 |
|
13 |
13 |
$634.27 |
| 10140 |
|
15 |
12 |
$529.32 |
| 29580 |
|
14 |
12 |
$299.72 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
490 |
455 |
$286.97 |
| 11732 |
|
26 |
26 |
$266.18 |