| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,792 |
4,975 |
$263K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,536 |
2,721 |
$86K |
| 20553 |
|
710 |
642 |
$25K |
| 62323 |
|
498 |
415 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
106 |
96 |
$10K |
| 99215 |
Prolong outpt/office vis |
101 |
90 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
46 |
40 |
$2K |
| 80305 |
|
157 |
141 |
$1K |
| 99152 |
|
20 |
15 |
$219.08 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
108 |
94 |
$194.47 |
| 99000 |
|
96 |
91 |
$10.02 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
14 |
$6.51 |