| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,436 |
3,194 |
$194K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
385 |
305 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
854 |
706 |
$4K |
| 99442 |
|
116 |
95 |
$1K |
| 80305 |
|
144 |
139 |
$642.66 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
45 |
41 |
$203.95 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
76 |
52 |
$83.23 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
26 |
24 |
$30.28 |
| J3490 |
Unclassified drugs |
29 |
24 |
$0.00 |