| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,623 |
9,012 |
$861K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,619 |
2,619 |
$332K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,719 |
3,481 |
$238K |
| 20550 |
|
270 |
249 |
$9K |
| 99205 |
Prolong outpt/office vis |
51 |
51 |
$7K |
| 72110 |
|
107 |
107 |
$3K |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
347 |
322 |
$598.34 |
| 20610 |
|
29 |
26 |
$495.07 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
357 |
326 |
$93.67 |