| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
196 |
171 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
116 |
101 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
101 |
87 |
$2K |
| 93922 |
|
31 |
27 |
$1K |
| 94010 |
|
35 |
29 |
$581.64 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
65 |
58 |
$174.23 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
16 |
15 |
$30.62 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
33 |
29 |
$27.44 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
70 |
62 |
$22.52 |
| 99457 |
|
158 |
157 |
$0.00 |
| 99458 |
|
26 |
26 |
$0.00 |