| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
136 |
106 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
112 |
90 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
145 |
112 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
40 |
37 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
91 |
80 |
$220.24 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
73 |
64 |
$80.64 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
26 |
26 |
$58.50 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
30 |
27 |
$56.32 |