| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96401 |
|
2,223 |
832 |
$179K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,223 |
1,135 |
$85K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
416 |
231 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
25 |
$2K |
| J9260 |
Injection, methotrexate sodium, 50 mg |
587 |
215 |
$889.40 |
| J9250 |
Methotrexate sodium, 5 mg |
333 |
150 |
$76.93 |