| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
510 |
457 |
$31K |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
210 |
207 |
$20K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
332 |
135 |
$5K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
18 |
16 |
$645.15 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
13 |
$246.87 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
75 |
74 |
$155.15 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
41 |
40 |
$76.30 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
16 |
16 |
$0.96 |