| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
24 |
24 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27 |
14 |
$412.62 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
14 |
$241.49 |
| 73630 |
|
14 |
12 |
$206.49 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
19 |
13 |
$26.26 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
19 |
13 |
$2.23 |
| 11721 |
|
12 |
12 |
$0.00 |