| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,251 |
876 |
$38K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,320 |
1,167 |
$10K |
| 20550 |
|
237 |
109 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
12 |
$1K |
| 82962 |
|
253 |
172 |
$339.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
931 |
600 |
$214.75 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
13 |
$112.00 |
| J1580 |
Injection, garamycin, gentamicin, up to 80 mg |
154 |
103 |
$95.91 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
189 |
125 |
$69.84 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
295 |
213 |
$11.83 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
15 |
12 |
$0.63 |