| Code | Description | Claims | Bene. Records | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,327 |
1,230 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
271 |
263 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
381 |
381 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
33 |
33 |
$464.33 |
| 17000 |
|
33 |
32 |
$292.66 |
| 17003 |
|
15 |
15 |
$101.36 |
| 17110 |
|
74 |
72 |
$50.36 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
70 |
68 |
$17.73 |
| 11900 |
|
60 |
58 |
$0.00 |
| 10040 |
|
43 |
42 |
$0.00 |