| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
645 |
613 |
$6K |
| 20610 |
|
187 |
163 |
$657.89 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42 |
41 |
$464.33 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$193.24 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
13 |
12 |
$14.92 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
52 |
51 |
$5.53 |