| Code | Description | Claims | Beneficiaries | Total Paid |
| 17360 |
|
127 |
109 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
252 |
232 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
100 |
97 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
38 |
38 |
$5K |
| 10040 |
|
102 |
86 |
$3K |
| 11900 |
|
47 |
39 |
$959.73 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$927.46 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
86 |
74 |
$94.69 |