| Code | Description | Claims | Beneficiaries | Total Paid |
| 99215 |
Prolong outpt/office vis |
3,664 |
3,638 |
$126K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,351 |
2,331 |
$30K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
935 |
935 |
$27K |
| 99205 |
Prolong outpt/office vis |
206 |
206 |
$9K |
| 20610 |
|
41 |
41 |
$866.17 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
56 |
55 |
$475.26 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$93.75 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
28 |
28 |
$72.18 |