| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,239 |
2,096 |
$137K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,273 |
2,015 |
$99K |
| 73110 |
|
1,000 |
809 |
$24K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
104 |
104 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
474 |
404 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
111 |
106 |
$8K |
| 73130 |
|
308 |
260 |
$6K |
| 73140 |
|
152 |
122 |
$3K |
| 20550 |
|
80 |
62 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
247 |
229 |
$1K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
118 |
114 |
$1K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
32 |
12 |
$944.23 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
106 |
99 |
$605.56 |
| Q4022 |
Cast supplies, short arm splint, adult (11 years +), fiberglass |
13 |
12 |
$134.77 |
| 99072 |
|
175 |
155 |
$0.00 |