| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,273 |
2,760 |
$80K |
| 17110 |
|
1,443 |
1,054 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
359 |
358 |
$16K |
| 11102 |
|
1,004 |
836 |
$12K |
| 10040 |
|
487 |
375 |
$10K |
| 11901 |
|
335 |
203 |
$4K |
| 17004 |
|
1,021 |
707 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
446 |
383 |
$2K |
| 11900 |
|
235 |
178 |
$2K |
| 17111 |
|
492 |
310 |
$2K |
| 17000 |
|
733 |
556 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
849 |
519 |
$944.76 |
| 17003 |
|
702 |
535 |
$622.67 |
| 11100 |
|
162 |
130 |
$321.40 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$68.49 |
| 96573 |
|
421 |
310 |
$0.00 |
| 96574 |
|
201 |
136 |
$0.00 |
| 11101 |
|
15 |
13 |
$0.00 |