| Code | Description | Claims | Beneficiaries | Total Paid |
| 20610 |
|
245 |
191 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
268 |
212 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
351 |
326 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
100 |
80 |
$4K |
| 73564 |
|
40 |
24 |
$814.64 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
13 |
12 |
$107.60 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
17 |
13 |
$85.18 |