| Code | Description | Claims | Beneficiaries | Total Paid |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
912 |
476 |
$53K |
| 95913 |
|
275 |
132 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,140 |
828 |
$41K |
| 95819 |
|
445 |
220 |
$11K |
| 95912 |
|
60 |
34 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
133 |
132 |
$10K |
| 95886 |
|
71 |
43 |
$5K |
| 95885 |
|
117 |
72 |
$4K |
| 20605 |
|
31 |
31 |
$996.75 |
| 20553 |
|
31 |
26 |
$517.23 |
| 97032 |
|
92 |
52 |
$140.27 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
17 |
13 |
$15.38 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
92 |
52 |
$1.22 |
| 97124 |
|
92 |
52 |
$0.00 |
| A4208 |
Syringe with needle, sterile 3 cc, each |
17 |
12 |
$0.00 |