| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
462 |
448 |
$27K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
33 |
33 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
83 |
83 |
$3K |
| 92561 |
|
17 |
17 |
$477.55 |
| 99188 |
|
17 |
17 |
$209.10 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
16 |
16 |
$181.97 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
15 |
$59.79 |
| 85018 |
|
18 |
18 |
$39.24 |
| 81000 |
|
15 |
15 |
$31.08 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$12.39 |
| 99173 |
|
17 |
17 |
$0.00 |