| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,610 |
6,226 |
$141K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,102 |
2,963 |
$64K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
206 |
205 |
$19K |
| 73630 |
|
463 |
431 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
91 |
90 |
$5K |
| 73610 |
|
173 |
149 |
$3K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
24 |
24 |
$1K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
1,186 |
1,137 |
$1K |
| 80305 |
|
126 |
119 |
$656.60 |
| 72110 |
|
30 |
29 |
$553.57 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
118 |
109 |
$496.48 |
| 20610 |
|
46 |
39 |
$435.02 |
| 73562 |
|
55 |
50 |
$396.94 |
| 64493 |
|
260 |
251 |
$277.72 |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
15 |
14 |
$233.88 |
| 64494 |
|
260 |
251 |
$136.26 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
33 |
30 |
$101.54 |
| A4550 |
Surgical trays |
165 |
153 |
$62.40 |
| 64495 |
|
29 |
26 |
$2.28 |