| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,122 |
980 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
505 |
450 |
$9K |
| 76942 |
|
376 |
337 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
286 |
280 |
$6K |
| 73110 |
|
749 |
633 |
$4K |
| 95886 |
|
44 |
44 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
73 |
70 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,273 |
958 |
$2K |
| 73130 |
|
471 |
399 |
$2K |
| 20550 |
|
186 |
135 |
$2K |
| 95911 |
|
16 |
16 |
$1K |
| 97760 |
|
134 |
121 |
$1K |
| 20611 |
|
17 |
12 |
$605.77 |
| 73140 |
|
66 |
53 |
$388.76 |
| 95912 |
|
13 |
13 |
$268.20 |
| 29125 |
|
41 |
38 |
$210.38 |
| L3995 |
Addition to upper extremity orthosis, sock, fracture or equal, each |
27 |
24 |
$180.00 |
| 29126 |
|
12 |
12 |
$20.14 |
| 29130 |
|
15 |
12 |
$0.00 |