| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,000 |
956 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
397 |
384 |
$23K |
| 80305 |
|
294 |
287 |
$3K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
93 |
87 |
$2K |
| 20552 |
|
43 |
41 |
$892.92 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
30 |
29 |
$429.78 |
| J3490 |
Unclassified drugs |
15 |
14 |
$419.77 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
101 |
96 |
$148.34 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
16 |
16 |
$2.56 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
26 |
24 |
$0.06 |
| 96103 |
|
18 |
16 |
$0.00 |