| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,373 |
1,180 |
$47K |
| 20610 |
|
207 |
138 |
$9K |
| 73030 |
|
458 |
433 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
235 |
196 |
$9K |
| 73564 |
|
90 |
74 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
26 |
$1K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
23 |
14 |
$340.89 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
19 |
17 |
$167.45 |