| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
838 |
705 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,172 |
946 |
$34K |
| 11721 |
|
1,171 |
911 |
$15K |
| 11750 |
|
151 |
125 |
$13K |
| 76942 |
|
129 |
97 |
$4K |
| 20550 |
|
57 |
48 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
15 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
82 |
55 |
$1K |
| 73620 |
|
42 |
28 |
$629.23 |
| 99070 |
|
114 |
101 |
$560.05 |
| 76882 |
|
17 |
12 |
$250.22 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
308 |
225 |
$219.09 |
| A4550 |
Surgical trays |
115 |
101 |
$154.25 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
220 |
154 |
$6.57 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
108 |
78 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
240 |
221 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
224 |
177 |
$0.00 |