| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
573 |
539 |
$20K |
| 99058 |
|
280 |
260 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
278 |
268 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
41 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
51 |
45 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
19 |
16 |
$57.45 |
| 81002 |
|
87 |
82 |
$47.30 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
12 |
$10.20 |
| 94760 |
|
45 |
41 |
$0.00 |