| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96920 |
|
1,386 |
405 |
$70K |
| 96910 |
|
2,706 |
760 |
$40K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,128 |
1,128 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,780 |
1,685 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
570 |
570 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
618 |
553 |
$23K |
| 17110 |
|
496 |
474 |
$10K |
| 11901 |
|
382 |
363 |
$8K |
| 11102 |
|
253 |
249 |
$5K |
| 96900 |
|
417 |
149 |
$5K |
| 10040 |
|
29 |
26 |
$2K |
| 96922 |
|
97 |
47 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
537 |
514 |
$921.78 |
| 11900 |
|
78 |
77 |
$57.08 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
24 |
12 |
$16.05 |
| 11404 |
|
13 |
13 |
$0.00 |