| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
197 |
180 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
123 |
120 |
$7K |
| 64490 |
|
77 |
39 |
$6K |
| 64493 |
|
82 |
40 |
$6K |
| J0735 |
Injection, clonidine hydrochloride, 1 mg |
437 |
405 |
$6K |
| 64492 |
|
77 |
39 |
$4K |
| 64491 |
|
77 |
39 |
$4K |
| 64495 |
|
81 |
38 |
$4K |
| 64494 |
|
82 |
40 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
43 |
40 |
$1K |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
226 |
210 |
$994.54 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
354 |
327 |
$331.08 |