| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,075 |
1,621 |
$94K |
| 99199 |
Unlisted special service, procedure or report |
8,924 |
8,836 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
769 |
589 |
$26K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
40 |
24 |
$406.02 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
39 |
25 |
$107.76 |
| 90674 |
|
31 |
30 |
$8.29 |