| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
792 |
790 |
$159K |
| 99205 |
Prolong outpt/office vis |
331 |
331 |
$91K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
515 |
504 |
$73K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
617 |
587 |
$55K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
278 |
272 |
$33K |
| 99222 |
Initial hospital care, per day, moderate complexity |
201 |
201 |
$22K |
| 99221 |
|
239 |
235 |
$17K |
| 99243 |
|
12 |
12 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
38 |
37 |
$75.31 |