| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,583 |
4,050 |
$200K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
637 |
621 |
$50K |
| 11721 |
|
2,385 |
2,282 |
$35K |
| 73630 |
|
928 |
654 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
80 |
80 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
162 |
149 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
47 |
40 |
$3K |
| 99304 |
|
14 |
14 |
$376.88 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
12 |
12 |
$162.88 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
12 |
12 |
$21.61 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
12 |
$1.41 |