| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
217 |
193 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
129 |
97 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
13 |
$887.74 |
| 20610 |
|
13 |
12 |
$480.86 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
27 |
25 |
$107.20 |