| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,582 |
2,153 |
$87K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
438 |
337 |
$20K |
| 20610 |
|
213 |
134 |
$5K |
| 73564 |
|
226 |
95 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
102 |
87 |
$4K |
| 73562 |
|
201 |
141 |
$3K |
| 73030 |
|
138 |
112 |
$2K |
| 73100 |
|
52 |
40 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
227 |
145 |
$592.50 |
| 73610 |
|
31 |
25 |
$484.60 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
226 |
145 |
$144.27 |