| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,753 |
3,429 |
$219K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,671 |
1,571 |
$91K |
| 17110 |
|
393 |
372 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
30 |
$3K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
137 |
120 |
$1K |
| 17000 |
|
12 |
12 |
$325.17 |
| J9040 |
Injection, bleomycin sulfate, 15 units |
27 |
25 |
$268.44 |
| 81025 |
|
13 |
13 |
$9.64 |