| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
497 |
452 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
88 |
87 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
62 |
62 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$753.75 |
| 73110 |
|
13 |
12 |
$329.84 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
12 |
12 |
$210.38 |
| 1159F |
|
668 |
619 |
$0.00 |
| 1160F |
|
666 |
617 |
$0.00 |
| 1126F |
|
97 |
94 |
$0.00 |
| 1036F |
|
571 |
525 |
$0.00 |
| 3008F |
|
650 |
603 |
$0.00 |
| 1125F |
|
470 |
447 |
$0.00 |