| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
679 |
497 |
$30K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
623 |
469 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
59 |
50 |
$3K |
| 82570 |
|
652 |
473 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
60 |
52 |
$648.82 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
58 |
50 |
$106.35 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
56 |
48 |
$86.49 |
| 80377 |
|
17 |
16 |
$0.00 |