| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
327 |
295 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
93 |
79 |
$11K |
| 11901 |
|
169 |
143 |
$8K |
| 10040 |
|
27 |
25 |
$2K |
| 17110 |
|
26 |
24 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
304 |
264 |
$326.83 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$96.21 |
| 11900 |
|
29 |
25 |
$0.00 |
| 99080 |
|
122 |
33 |
$0.00 |