| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
136 |
124 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
32 |
30 |
$713.26 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
23 |
22 |
$263.72 |
| 80305 |
|
13 |
12 |
$137.20 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
21 |
20 |
$10.88 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
23 |
22 |
$2.52 |
| 99442 |
|
16 |
14 |
$0.00 |