| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,617 |
718 |
$88K |
| 98926 |
|
1,246 |
602 |
$43K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
289 |
149 |
$3K |
| 97014 |
|
117 |
66 |
$1K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
128 |
59 |
$495.95 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
155 |
84 |
$63.78 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
29 |
22 |
$15.08 |