| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
415 |
282 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
13 |
$741.64 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
24 |
13 |
$131.09 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
24 |
13 |
$78.13 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
24 |
13 |
$6.85 |