| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
207 |
190 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
279 |
256 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
67 |
66 |
$347.27 |
| 20553 |
|
14 |
14 |
$79.41 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
67 |
66 |
$0.00 |
| 96146 |
|
37 |
34 |
$0.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
13 |
13 |
$0.00 |