| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,831 |
2,180 |
$57K |
| 99223 |
Prolong inpt eval add15 m |
497 |
419 |
$34K |
| 99205 |
Prolong outpt/office vis |
135 |
123 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
25 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
20 |
13 |
$439.92 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
12 |
$160.85 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
99 |
69 |
$90.08 |