| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,279 |
2,998 |
$136K |
| 20553 |
|
356 |
335 |
$13K |
| 99358 |
Prolong nursin fac eval 15m |
130 |
127 |
$5K |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
24 |
24 |
$486.51 |
| Q9965 |
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
230 |
221 |
$417.63 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
25 |
24 |
$99.35 |
| 80305 |
|
13 |
13 |
$98.31 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
75 |
70 |
$53.87 |