| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,833 |
3,831 |
$90K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,619 |
1,377 |
$30K |
| 62369 |
|
1,434 |
1,128 |
$17K |
| 99215 |
Prolong outpt/office vis |
328 |
283 |
$13K |
| 99152 |
|
98 |
77 |
$496.81 |
| 20553 |
|
134 |
68 |
$385.45 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
13 |
12 |
$12.32 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
59 |
37 |
$9.74 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
72 |
38 |
$1.86 |