| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
703 |
643 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
238 |
228 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
15 |
$2K |
| 80305 |
|
57 |
52 |
$542.24 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
19 |
18 |
$222.06 |
| 99406 |
|
16 |
16 |
$152.08 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
19 |
18 |
$16.43 |