| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,409 |
1,349 |
$116K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,475 |
1,379 |
$81K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
414 |
392 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
196 |
185 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
169 |
155 |
$5K |
| 73630 |
|
388 |
310 |
$3K |
| 73564 |
|
97 |
92 |
$1K |
| 73610 |
|
32 |
29 |
$708.87 |
| Q4010 |
Cast supplies, short arm cast, adult (11 years +), fiberglass |
12 |
12 |
$481.69 |
| 73562 |
|
24 |
24 |
$415.98 |
| 73110 |
|
38 |
38 |
$363.66 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
13 |
13 |
$166.53 |
| 11721 |
|
12 |
12 |
$112.35 |
| 1159F |
|
1,263 |
1,188 |
$0.00 |
| 3078F |
|
1,201 |
1,136 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
63 |
61 |
$0.00 |
| 1160F |
|
262 |
249 |
$0.00 |
| 4040F |
|
16 |
12 |
$0.00 |
| 3079F |
|
283 |
278 |
$0.00 |
| 3074F |
|
1,690 |
1,607 |
$0.00 |
| 1111F |
|
122 |
117 |
$0.00 |