| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,143 |
2,098 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
486 |
484 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
648 |
639 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
666 |
650 |
$3K |
| 17110 |
|
34 |
28 |
$319.08 |
| 11900 |
|
32 |
31 |
$178.06 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
281 |
269 |
$70.22 |
| 10040 |
|
57 |
57 |
$0.00 |
| 11901 |
|
13 |
13 |
$0.00 |