| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,191 |
2,046 |
$160K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
101 |
91 |
$753.41 |
| J2010 |
Injection, lincomycin hcl, up to 300 mg |
32 |
26 |
$529.11 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
762 |
615 |
$363.50 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
58 |
50 |
$81.80 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
12 |
12 |
$68.07 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
12 |
12 |
$59.90 |