| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
790 |
673 |
$17K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
26 |
25 |
$5K |
| 20610 |
|
142 |
109 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
47 |
44 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33 |
29 |
$809.54 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
128 |
92 |
$748.10 |