| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,385 |
1,263 |
$51K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
93 |
92 |
$5K |
| 20610 |
|
126 |
87 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
53 |
48 |
$3K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
449 |
423 |
$828.38 |
| J3490 |
Unclassified drugs |
29 |
27 |
$22.64 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
81 |
77 |
$0.00 |