| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,398 |
1,241 |
$69K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
121 |
117 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
73 |
73 |
$4K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
14 |
14 |
$1K |
| 72202 |
|
70 |
66 |
$807.16 |
| 72110 |
|
12 |
12 |
$180.91 |
| 72100 |
|
12 |
12 |
$155.25 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
34 |
30 |
$131.50 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
94 |
67 |
$94.95 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
15 |
12 |
$85.52 |