| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,145 |
3,700 |
$188K |
| 20550 |
|
589 |
489 |
$18K |
| 11730 |
|
208 |
208 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
90 |
90 |
$7K |
| 11721 |
|
270 |
269 |
$2K |
| 20551 |
|
54 |
49 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
504 |
447 |
$47.93 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
245 |
217 |
$0.24 |
| G8404 |
Lower extremity neurological exam performed and documented |
66 |
63 |
$0.00 |