| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,110 |
2,109 |
$301K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,137 |
2,989 |
$283K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,107 |
1,041 |
$62K |
| 73562 |
|
1,157 |
818 |
$28K |
| 20611 |
|
258 |
200 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
98 |
98 |
$9K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
859 |
846 |
$5K |
| 73030 |
|
160 |
132 |
$3K |
| 72100 |
|
120 |
119 |
$3K |
| 72040 |
|
70 |
70 |
$2K |
| 20610 |
|
15 |
12 |
$790.56 |
| A4208 |
Syringe with needle, sterile 3 cc, each |
18 |
16 |
$2.94 |
| A6413 |
Adhesive bandage, first-aid type, any size, each |
17 |
15 |
$0.00 |