| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,040 |
921 |
$59K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
84 |
27 |
$39K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
211 |
189 |
$14K |
| 95816 |
|
133 |
124 |
$3K |
| 64615 |
|
39 |
26 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
26 |
26 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34 |
25 |
$1K |