| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,404 |
2,241 |
$126K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
452 |
432 |
$38K |
| 99497 |
|
556 |
546 |
$30K |
| 73620 |
|
1,277 |
697 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
181 |
181 |
$23K |
| 11721 |
|
1,181 |
1,157 |
$19K |
| 11056 |
|
631 |
621 |
$17K |
| 29540 |
|
1,111 |
644 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
43 |
43 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
155 |
149 |
$5K |
| 11755 |
|
30 |
30 |
$3K |
| 99407 |
|
70 |
67 |
$1K |
| 99406 |
|
26 |
25 |
$287.64 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
13 |
13 |
$15.03 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
13 |
$1.62 |