| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
92 |
92 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
157 |
146 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
81 |
78 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
91 |
91 |
$6K |
| 17110 |
|
38 |
26 |
$2K |
| 11900 |
|
26 |
25 |
$787.19 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
42 |
39 |
$66.20 |