| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,032 |
2,704 |
$119K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,147 |
878 |
$33K |
| 64483 |
|
169 |
149 |
$19K |
| 62323 |
|
61 |
55 |
$5K |
| 62321 |
|
14 |
13 |
$923.44 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$808.71 |
| 96127 |
|
206 |
204 |
$764.55 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,114 |
1,037 |
$704.47 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
14 |
$489.56 |
| 80305 |
|
40 |
38 |
$261.33 |
| 20610 |
|
13 |
12 |
$170.20 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
12 |
12 |
$42.52 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
13 |
13 |
$0.00 |