| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
162 |
137 |
$544.02 |
| 11721 |
|
324 |
303 |
$347.33 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
108 |
104 |
$232.44 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
214 |
170 |
$170.94 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$27.08 |
| 99215 |
Prolong outpt/office vis |
43 |
39 |
$24.86 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
12 |
$0.21 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
14 |
14 |
$0.00 |