| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,988 |
1,778 |
$89K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
597 |
573 |
$33K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
39 |
$3K |
| 99385 |
|
15 |
15 |
$2K |
| 98927 |
|
18 |
14 |
$729.44 |
| 93000 |
|
57 |
57 |
$706.00 |
| 99442 |
|
30 |
27 |
$361.12 |
| 90756 |
|
16 |
16 |
$250.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
18 |
$230.56 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
26 |
26 |
$143.64 |