| Code | Description | Claims | Beneficiaries | Total Paid |
| 20611 |
|
71 |
53 |
$4K |
| 20610 |
|
129 |
90 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
55 |
53 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
71 |
66 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
26 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
25 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
132 |
95 |
$675.34 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17 |
14 |
$570.04 |
| 3008F |
|
225 |
194 |
$0.00 |
| 1036F |
|
301 |
239 |
$0.00 |