| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J1955 |
Injection, levocarnitine, per 1 gm |
4,247 |
1,720 |
$628K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,507 |
1,727 |
$221K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
404 |
395 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
502 |
221 |
$24K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
29 |
$4K |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
194 |
53 |
$900.72 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
28 |
25 |
$545.96 |