| Code | Description | Claims | Bene. Records | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,006 |
903 |
$50K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
533 |
441 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
189 |
178 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
248 |
199 |
$8K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
218 |
163 |
$5K |
| 20550 |
|
206 |
150 |
$5K |
| 73110 |
|
243 |
189 |
$5K |
| 73140 |
|
68 |
50 |
$1K |
| 73130 |
|
13 |
13 |
$172.55 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
18 |
18 |
$16.52 |