| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
561 |
502 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
832 |
742 |
$19K |
| 20610 |
|
282 |
211 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
195 |
162 |
$6K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
473 |
331 |
$2K |
| 73564 |
|
43 |
39 |
$689.71 |
| J3490 |
Unclassified drugs |
20 |
12 |
$22.50 |