| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,809 |
1,600 |
$142K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,626 |
1,403 |
$84K |
| 99223 |
Prolong inpt eval add15 m |
334 |
261 |
$33K |
| 20610 |
|
379 |
330 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
59 |
52 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
173 |
148 |
$5K |
| 73560 |
|
47 |
41 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
18 |
13 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
359 |
322 |
$618.69 |
| 72170 |
|
13 |
13 |
$353.63 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
351 |
320 |
$2.61 |
| 99024 |
|
340 |
324 |
$0.00 |