| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
866 |
715 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,041 |
862 |
$28K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
239 |
150 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
31 |
27 |
$472.86 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
21 |
13 |
$44.72 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
16 |
15 |
$42.12 |
| 82962 |
|
22 |
14 |
$11.80 |