| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,132 |
1,063 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,395 |
1,302 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
134 |
134 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
41 |
$2K |
| 11900 |
|
106 |
100 |
$1K |
| 11901 |
|
85 |
78 |
$485.66 |
| 17110 |
|
68 |
56 |
$189.43 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
569 |
532 |
$183.76 |
| 11100 |
|
15 |
15 |
$163.92 |
| 99080 |
|
64 |
32 |
$0.00 |