| Code | Description | Claims | Beneficiaries | Total Paid |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
313 |
313 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
985 |
927 |
$31K |
| 99245 |
|
192 |
192 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
606 |
570 |
$25K |
| 20610 |
|
228 |
180 |
$5K |
| 99215 |
Prolong outpt/office vis |
28 |
28 |
$2K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
180 |
142 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
13 |
$596.46 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
101 |
85 |
$120.15 |
| 3079F |
|
12 |
12 |
$0.00 |
| 3078F |
|
25 |
25 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |