| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,189 |
1,704 |
$52K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
999 |
834 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34 |
33 |
$2K |
| 20610 |
|
72 |
40 |
$538.86 |
| 73564 |
|
20 |
12 |
$168.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
36 |
25 |
$106.92 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
22 |
13 |
$11.08 |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
21 |
13 |
$9.17 |