| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,395 |
5,897 |
$886K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,328 |
3,190 |
$461K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,071 |
1,063 |
$149K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
462 |
460 |
$65K |
| 99215 |
Prolong outpt/office vis |
45 |
45 |
$6K |
| S9083 |
Global fee urgent care centers |
334 |
297 |
$4K |
| 3078F |
|
919 |
850 |
$0.00 |
| 3077F |
|
88 |
84 |
$0.00 |
| 3079F |
|
570 |
537 |
$0.00 |
| 3074F |
|
1,203 |
1,103 |
$0.00 |
| 3080F |
|
107 |
103 |
$0.00 |
| 3075F |
|
275 |
267 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
137 |
119 |
$0.00 |