| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
408 |
385 |
$3K |
| 20610 |
|
97 |
76 |
$816.41 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
216 |
216 |
$645.33 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$246.94 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
51 |
44 |
$154.35 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
14 |
13 |
$34.26 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
29 |
26 |
$0.09 |