| Code | Description | Claims | Beneficiaries | Total Paid |
| 99243 |
|
285 |
252 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
404 |
329 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
31 |
29 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
13 |
$671.25 |
| 20610 |
|
20 |
15 |
$524.84 |
| J3302 |
Injection, triamcinolone diacetate, per 5 mg |
30 |
27 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
30 |
27 |
$0.00 |