| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,884 |
8,477 |
$203K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
200 |
144 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
150 |
95 |
$6K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
589 |
471 |
$3K |
| 11721 |
|
227 |
117 |
$1K |
| 73630 |
|
23 |
13 |
$393.74 |
| 73620 |
|
25 |
12 |
$204.63 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
127 |
49 |
$76.90 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
127 |
49 |
$13.38 |