| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,406 |
2,304 |
$129K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
539 |
516 |
$41K |
| 20611 |
|
900 |
819 |
$32K |
| 73562 |
|
344 |
316 |
$11K |
| 73560 |
|
345 |
334 |
$9K |
| 73502 |
|
149 |
143 |
$5K |
| 73030 |
|
72 |
70 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
13 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
804 |
774 |
$596.29 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
13 |
$429.48 |
| A4550 |
Surgical trays |
875 |
829 |
$180.00 |
| J3490 |
Unclassified drugs |
119 |
115 |
$15.40 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
766 |
733 |
$3.68 |