| Code | Description | Claims | Beneficiaries | Total Paid |
| 20611 |
|
72 |
50 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
52 |
45 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$926.09 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
15 |
$537.02 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
54 |
38 |
$220.82 |