| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,443 |
2,251 |
$128K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
950 |
945 |
$75K |
| 73630 |
|
332 |
241 |
$7K |
| 11721 |
|
246 |
242 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
28 |
28 |
$24.79 |
| 1000F |
|
591 |
535 |
$8.43 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
897 |
816 |
$8.43 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
28 |
28 |
$2.72 |