| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,305 |
1,099 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
883 |
739 |
$22K |
| 99443 |
|
699 |
572 |
$14K |
| 99233 |
Prolong inpt eval add15 m |
1,397 |
441 |
$13K |
| 99223 |
Prolong inpt eval add15 m |
482 |
476 |
$6K |
| 20553 |
|
62 |
54 |
$914.60 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
152 |
69 |
$671.23 |
| 20611 |
|
14 |
12 |
$410.54 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
76 |
62 |
$37.07 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
58 |
47 |
$18.40 |