| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,360 |
6,568 |
$52K |
| 99442 |
|
322 |
297 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
30 |
$800.57 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
19 |
15 |
$50.98 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
17 |
12 |
$6.42 |
| J0670 |
Injection, mepivacaine hydrochloride, per 10 ml |
36 |
27 |
$0.00 |