| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,440 |
1,323 |
$55K |
| 77002 |
|
47 |
39 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
51 |
50 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
266 |
192 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$368.62 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
455 |
311 |
$44.85 |
| G9500 |
Radiation exposure indices documented in final report for procedure using fluoroscopy |
75 |
38 |
$0.00 |