| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
262 |
246 |
$1K |
| 17004 |
|
53 |
50 |
$724.25 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
110 |
97 |
$263.26 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
25 |
$148.52 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
58 |
54 |
$46.56 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
72 |
66 |
$10.60 |