| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
860 |
782 |
$44K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
39 |
$3K |
| 20610 |
|
30 |
26 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
28 |
27 |
$101.60 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
15 |
15 |
$65.30 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
26 |
24 |
$0.10 |