| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,565 |
1,409 |
$58K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
719 |
651 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
140 |
121 |
$7K |
| 73030 |
|
247 |
221 |
$5K |
| 20610 |
|
90 |
66 |
$4K |
| 73564 |
|
89 |
71 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30 |
24 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
150 |
120 |
$867.37 |
| 73610 |
|
13 |
12 |
$374.82 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
60 |
53 |
$275.07 |