| Code | Description | Claims | Beneficiaries | Total Paid |
| 20610 |
|
103 |
87 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28 |
26 |
$1K |
| 73564 |
|
43 |
42 |
$970.74 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
50 |
47 |
$850.01 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
40 |
40 |
$53.89 |