| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
470 |
470 |
$82K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,524 |
1,474 |
$77K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
305 |
304 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
181 |
179 |
$14K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
1,059 |
931 |
$12K |
| 20611 |
|
31 |
26 |
$3K |
| 76942 |
|
12 |
12 |
$519.52 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
383 |
351 |
$504.57 |