| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
343 |
326 |
$11K |
| 99401 |
|
210 |
197 |
$3K |
| 20552 |
|
90 |
87 |
$2K |
| 99243 |
|
20 |
19 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$918.04 |
| 20610 |
|
18 |
15 |
$819.66 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$762.87 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
228 |
204 |
$522.69 |
| 3074F |
|
17 |
17 |
$0.00 |