| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
31 |
25 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
26 |
$1K |
| 20610 |
|
60 |
40 |
$891.28 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$452.85 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
24 |
$315.88 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
31 |
24 |
$10.38 |