| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
836 |
717 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
170 |
135 |
$7K |
| 73562 |
|
160 |
109 |
$4K |
| 20610 |
|
57 |
28 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$1K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
36 |
26 |
$370.12 |
| 72170 |
|
14 |
12 |
$233.72 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
36 |
26 |
$8.65 |