| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
428 |
426 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
276 |
259 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
122 |
121 |
$2K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
143 |
140 |
$292.30 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
118 |
118 |
$178.22 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
99 |
99 |
$174.63 |