| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,757 |
1,910 |
$155K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,759 |
970 |
$12K |
| 99349 |
|
179 |
81 |
$3K |
| 99406 |
|
363 |
233 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23 |
12 |
$627.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
334 |
114 |
$280.36 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
255 |
244 |
$231.34 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
138 |
36 |
$44.68 |
| 90756 |
|
14 |
14 |
$25.00 |
| J2300 |
Injection, nalbuphine hydrochloride, per 10 mg |
27 |
12 |
$20.58 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$7.00 |