| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,174 |
2,884 |
$152K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
122 |
121 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
28 |
$2K |
| 20610 |
|
54 |
52 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
73 |
73 |
$462.26 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
24 |
24 |
$252.08 |