| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
667 |
406 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
374 |
227 |
$5K |
| 96127 |
|
64 |
35 |
$65.30 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
289 |
128 |
$23.23 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
71 |
25 |
$17.96 |
| J3300 |
Injection, triamcinolone acetonide, preservative free, 1 mg |
201 |
99 |
$0.00 |