| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,429 |
840 |
$62K |
| 76942 |
|
153 |
35 |
$30K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
479 |
215 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$1K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
34 |
12 |
$852.96 |
| 20610 |
|
133 |
68 |
$154.36 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
119 |
22 |
$128.67 |