| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
556 |
404 |
$815.48 |
| 99152 |
|
45 |
38 |
$537.71 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
358 |
279 |
$47.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
182 |
80 |
$3.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
169 |
131 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
18 |
13 |
$0.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
18 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
600 |
437 |
$0.00 |