| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,401 |
2,206 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
308 |
307 |
$1K |
| 95117 |
|
259 |
88 |
$207.06 |
| 31231 |
|
837 |
825 |
$122.50 |
| 31575 |
|
25 |
25 |
$107.47 |
| 30200 |
|
120 |
120 |
$52.87 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
25 |
25 |
$9.41 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31 |
31 |
$6.46 |