| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,286 |
2,021 |
$136K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
162 |
154 |
$14K |
| J3490 |
Unclassified drugs |
359 |
266 |
$979.38 |
| 80305 |
|
122 |
114 |
$951.14 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
144 |
136 |
$703.04 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
235 |
220 |
$184.04 |