| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,827 |
1,771 |
$90K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
693 |
643 |
$31K |
| 99215 |
Prolong outpt/office vis |
56 |
53 |
$5K |
| 99205 |
Prolong outpt/office vis |
38 |
38 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
216 |
189 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
188 |
174 |
$758.65 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$15.28 |
| J7050 |
Infusion, normal saline solution, 250 cc |
39 |
24 |
$10.23 |
| 99335 |
|
12 |
12 |
$0.00 |