| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
185 |
173 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
184 |
166 |
$7K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
39 |
38 |
$610.64 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
24 |
24 |
$296.49 |
| 80305 |
|
43 |
38 |
$268.85 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
33 |
31 |
$60.54 |