| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,994 |
1,582 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,310 |
1,821 |
$6K |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
2,325 |
1,558 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,039 |
1,934 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
63 |
57 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,640 |
1,823 |
$341.33 |
| 96130 |
|
73 |
65 |
$266.01 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
386 |
322 |
$111.74 |
| 96103 |
|
68 |
60 |
$17.79 |
| 96146 |
|
29 |
25 |
$3.24 |
| 80305 |
|
294 |
240 |
$1.90 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
14 |
14 |
$0.00 |