| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,413 |
4,401 |
$615K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,016 |
1,022 |
$199K |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
4,656 |
884 |
$49K |
| J2300 |
Injection, nalbuphine hydrochloride, per 10 mg |
3,865 |
762 |
$43K |
| 90632 |
|
264 |
235 |
$14K |
| 90746 |
|
157 |
127 |
$9K |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
4,655 |
883 |
$9K |
| 90677 |
|
40 |
32 |
$9K |
| 93000 |
|
588 |
499 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,786 |
933 |
$8K |
| 90688 |
|
206 |
187 |
$3K |
| 86580 |
|
295 |
250 |
$2K |
| 90732 |
|
13 |
12 |
$1K |
| 90707 |
|
12 |
12 |
$564.12 |
| G0008 |
Administration of influenza virus vaccine |
34 |
34 |
$327.28 |
| 3008F |
|
14 |
12 |
$55.00 |