| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,739 |
3,706 |
$242K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
870 |
870 |
$84K |
| 62323 |
|
429 |
428 |
$62K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
315 |
313 |
$14K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
902 |
896 |
$3K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
490 |
481 |
$2K |
| 27096 |
|
24 |
24 |
$2K |
| 20610 |
|
55 |
52 |
$1K |
| Q9965 |
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
860 |
855 |
$1K |
| 96132 |
|
16 |
16 |
$1K |
| 64493 |
|
13 |
13 |
$1K |
| 64494 |
|
13 |
13 |
$459.23 |
| 99406 |
|
12 |
12 |
$164.52 |