| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 17360 |
|
415 |
326 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
651 |
537 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
320 |
294 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
113 |
113 |
$15K |
| 17110 |
|
209 |
179 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
71 |
71 |
$6K |
| 11901 |
|
154 |
121 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
57 |
57 |
$4K |
| 10040 |
|
65 |
50 |
$3K |
| 11900 |
|
137 |
120 |
$3K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
507 |
407 |
$722.66 |
| 11102 |
|
15 |
15 |
$433.12 |