| Code | Description | Claims | Beneficiaries | Total Paid |
| 17110 |
|
486 |
332 |
$25K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
636 |
595 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
749 |
658 |
$23K |
| 11100 |
|
17 |
13 |
$646.54 |
| 11900 |
|
24 |
24 |
$579.64 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
12 |
$518.69 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
80 |
73 |
$215.97 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$200.07 |