| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,559 |
1,488 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
433 |
426 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,254 |
1,196 |
$2K |
| 88331 |
|
381 |
380 |
$1K |
| 17004 |
|
449 |
432 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
132 |
129 |
$794.83 |
| 17000 |
|
1,400 |
1,333 |
$336.97 |
| 17110 |
|
431 |
420 |
$292.88 |
| 17003 |
|
1,240 |
1,203 |
$153.69 |
| 11102 |
|
178 |
177 |
$107.66 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
40 |
38 |
$55.00 |
| 96574 |
|
40 |
39 |
$54.42 |
| 11302 |
|
62 |
62 |
$48.18 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
82 |
82 |
$12.21 |
| 11311 |
|
95 |
94 |
$9.50 |
| 11312 |
|
24 |
24 |
$1.44 |
| 17311 |
|
25 |
25 |
$0.00 |
| 11301 |
|
25 |
25 |
$0.00 |
| J7345 |
Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg |
40 |
39 |
$0.00 |