| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,376 |
9,847 |
$818K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,032 |
912 |
$56K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
481 |
433 |
$54K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
29 |
$3K |
| 76942 |
|
13 |
13 |
$57.22 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
25 |
24 |
$14.40 |