| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
353 |
308 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
203 |
183 |
$10K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
83 |
66 |
$8.76 |
| A4248 |
Chlorhexidine containing antiseptic, 1 ml |
185 |
150 |
$4.70 |
| A4215 |
Needle, sterile, any size, each |
195 |
162 |
$4.60 |
| A4208 |
Syringe with needle, sterile 3 cc, each |
194 |
161 |
$2.88 |