| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,540 |
5,523 |
$236K |
| 20553 |
|
1,720 |
1,380 |
$41K |
| 76942 |
|
645 |
544 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
638 |
534 |
$21K |
| J3490 |
Unclassified drugs |
1,225 |
955 |
$7K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
993 |
890 |
$2K |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
56 |
52 |
$218.33 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
12 |
12 |
$0.03 |