| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76881 |
|
3,577 |
2,345 |
$315K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,737 |
3,345 |
$186K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,316 |
1,315 |
$103K |
| 11755 |
|
1,193 |
1,180 |
$101K |
| 11721 |
|
5,220 |
5,144 |
$65K |
| 11056 |
|
2,220 |
2,135 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
346 |
334 |
$25K |
| 11057 |
|
1,677 |
1,645 |
$25K |
| 11102 |
|
366 |
347 |
$17K |
| 11100 |
|
369 |
368 |
$16K |
| 29540 |
|
767 |
617 |
$13K |
| 76942 |
|
109 |
94 |
$11K |
| 99406 |
|
820 |
812 |
$8K |
| 29550 |
|
650 |
518 |
$7K |
| 11055 |
|
245 |
229 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
198 |
193 |
$6K |
| 11306 |
|
83 |
79 |
$3K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
84 |
75 |
$2K |
| 17250 |
|
277 |
273 |
$2K |
| 29581 |
|
25 |
24 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$709.77 |
| 11720 |
|
53 |
52 |
$460.82 |
| 11719 |
|
38 |
38 |
$33.44 |