| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28,957 |
19,001 |
$2.62M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,223 |
5,143 |
$413K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
981 |
971 |
$114K |
| 99205 |
Prolong outpt/office vis |
464 |
464 |
$68K |
| 99215 |
Prolong outpt/office vis |
206 |
176 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
208 |
204 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,356 |
1,216 |
$11K |
| 99406 |
|
888 |
671 |
$8K |
| 99442 |
|
100 |
94 |
$5K |
| 86328 |
|
147 |
138 |
$5K |
| 99422 |
|
166 |
159 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
148 |
140 |
$2K |
| 80305 |
|
157 |
134 |
$2K |
| 99000 |
|
269 |
252 |
$2K |
| 99441 |
|
33 |
32 |
$1K |
| 99423 |
|
12 |
12 |
$390.20 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
193 |
164 |
$248.80 |
| 81003 |
|
93 |
90 |
$159.59 |