| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
224 |
214 |
$11K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
117 |
117 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
48 |
44 |
$3K |
| 17110 |
|
28 |
27 |
$2K |
| 11100 |
|
15 |
14 |
$813.15 |
| 11900 |
|
15 |
15 |
$589.48 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
30 |
30 |
$88.44 |