| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,218 |
2,979 |
$77K |
| 64483 |
|
162 |
155 |
$14K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
65 |
64 |
$399.71 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
423 |
367 |
$204.04 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
503 |
453 |
$39.26 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
68 |
61 |
$0.46 |