| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,110 |
1,910 |
$121K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
350 |
343 |
$31K |
| 20611 |
|
519 |
406 |
$18K |
| 73562 |
|
301 |
287 |
$11K |
| 73502 |
|
199 |
187 |
$7K |
| 20610 |
|
177 |
173 |
$5K |
| 73560 |
|
182 |
172 |
$4K |
| 20985 |
|
25 |
25 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
639 |
554 |
$1K |
| A4550 |
Surgical trays |
760 |
649 |
$550.00 |
| 73030 |
|
12 |
12 |
$197.98 |
| J3490 |
Unclassified drugs |
431 |
400 |
$36.16 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
667 |
586 |
$15.40 |