| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,136 |
4,759 |
$175K |
| 95886 |
|
783 |
738 |
$73K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
863 |
838 |
$50K |
| 95911 |
|
302 |
295 |
$32K |
| 95912 |
|
112 |
109 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
113 |
111 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
138 |
128 |
$6K |
| 73100 |
|
173 |
148 |
$4K |
| 73030 |
|
126 |
111 |
$2K |
| 73140 |
|
89 |
78 |
$2K |
| 29075 |
|
60 |
53 |
$2K |
| 73130 |
|
62 |
39 |
$1K |
| 72110 |
|
29 |
29 |
$1K |
| 20611 |
|
26 |
25 |
$1K |
| 20610 |
|
46 |
42 |
$936.55 |
| 73630 |
|
29 |
24 |
$666.65 |
| 73110 |
|
14 |
12 |
$404.56 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$401.88 |
| 73610 |
|
12 |
12 |
$287.79 |
| 73502 |
|
13 |
12 |
$265.14 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
51 |
49 |
$132.97 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
26 |
25 |
$7.42 |