| Code | Description | Claims | Beneficiaries | Total Paid |
| 99215 |
Prolong outpt/office vis |
336 |
285 |
$44K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
380 |
324 |
$6K |
| 99152 |
|
326 |
278 |
$4K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
222 |
202 |
$4K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
376 |
317 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
12 |
$1K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
401 |
334 |
$540.75 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
42 |
41 |
$206.15 |