| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
338 |
317 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
134 |
126 |
$3K |
| 20610 |
|
275 |
249 |
$1K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
268 |
254 |
$8.51 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
86 |
77 |
$0.00 |
| 73562 |
|
17 |
12 |
$0.00 |