| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,852 |
17,008 |
$687K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,825 |
2,725 |
$95K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
299 |
262 |
$12K |
| 62323 |
|
74 |
68 |
$8K |
| 80306 |
|
503 |
464 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
28 |
$3K |
| 62370 |
|
105 |
91 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
152 |
133 |
$125.39 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
14 |
12 |
$1.65 |