| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
722 |
570 |
$16K |
| 20611 |
|
338 |
249 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
366 |
290 |
$13K |
| 29848 |
|
16 |
12 |
$3K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
177 |
141 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
34 |
27 |
$2K |
| 76942 |
|
26 |
14 |
$1K |
| 73562 |
|
27 |
24 |
$466.34 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
412 |
293 |
$139.43 |