| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,703 |
4,755 |
$391K |
| 62323 |
|
692 |
678 |
$97K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
612 |
179 |
$39K |
| 20553 |
|
834 |
783 |
$38K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
1,574 |
1,508 |
$31K |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
1,895 |
1,686 |
$15K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
975 |
915 |
$13K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
24 |
24 |
$12K |
| 77002 |
|
758 |
436 |
$12K |
| 20610 |
|
73 |
55 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
75 |
73 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
18 |
14 |
$2K |
| 64615 |
|
24 |
24 |
$1K |
| 76942 |
|
86 |
84 |
$816.89 |
| 77003 |
|
830 |
784 |
$307.26 |