| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
438 |
396 |
$39K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
74 |
66 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
127 |
121 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
126 |
122 |
$796.79 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
39 |
35 |
$92.80 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
52 |
47 |
$4.59 |
| 2010F |
|
419 |
375 |
$1.68 |
| 3008F |
|
373 |
332 |
$1.47 |
| 2000F |
|
264 |
245 |
$0.01 |