| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,015 |
9,315 |
$504K |
| 62323 |
|
961 |
938 |
$65K |
| 99152 |
|
1,377 |
1,278 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
96 |
96 |
$8K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
739 |
711 |
$2K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
42 |
39 |
$110.31 |
| J3490 |
Unclassified drugs |
12 |
12 |
$46.47 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
61 |
57 |
$0.00 |
| 99070 |
|
234 |
232 |
$0.00 |