| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,220 |
1,713 |
$73K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
73 |
68 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
500 |
443 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
12 |
$107.12 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
242 |
223 |
$53.43 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
80 |
74 |
$41.33 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
28 |
26 |
$8.38 |