| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
671 |
517 |
$49K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
633 |
494 |
$17K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
145 |
103 |
$1K |
| 82570 |
|
654 |
494 |
$1K |
| 20553 |
|
30 |
15 |
$372.79 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
142 |
101 |
$201.69 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
140 |
102 |
$191.59 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
33 |
17 |
$97.97 |
| 80377 |
|
14 |
13 |
$0.00 |