| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
714 |
678 |
$18K |
| 93880 |
|
187 |
186 |
$10K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
14 |
13 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
72 |
72 |
$6K |
| 93890 |
|
111 |
106 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
157 |
152 |
$5K |
| 93886 |
|
87 |
87 |
$4K |
| 95886 |
|
24 |
17 |
$3K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
15 |
12 |
$189.65 |