| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
811 |
778 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
301 |
298 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
179 |
179 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
106 |
105 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
146 |
141 |
$4K |
| 73130 |
|
214 |
167 |
$4K |
| 73030 |
|
95 |
90 |
$2K |
| 73110 |
|
102 |
80 |
$2K |
| 20610 |
|
15 |
13 |
$271.42 |
| 73140 |
|
19 |
18 |
$213.87 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
29 |
27 |
$0.00 |
| 3061F |
|
13 |
13 |
$0.00 |