| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,889 |
2,390 |
$66K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
180 |
148 |
$392.80 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
364 |
290 |
$108.82 |
| 99406 |
|
499 |
450 |
$72.48 |
| 93000 |
|
19 |
13 |
$10.99 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
45 |
37 |
$4.01 |
| 90674 |
|
20 |
16 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
35 |
27 |
$0.00 |