| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
246 |
228 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
280 |
261 |
$14K |
| 95886 |
|
202 |
181 |
$12K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
198 |
139 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37 |
36 |
$2K |
| 95909 |
|
26 |
24 |
$2K |
| 76942 |
|
26 |
25 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
86 |
50 |
$108.19 |