| Code | Description | Claims | Beneficiaries | Total Paid |
| 17360 |
|
181 |
172 |
$22K |
| 10040 |
|
244 |
235 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
102 |
101 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
128 |
126 |
$11K |
| 11900 |
|
204 |
197 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$4K |
| 17340 |
|
18 |
17 |
$442.90 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
196 |
189 |
$215.30 |