| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34 |
32 |
$3K |
| J3300 |
Injection, triamcinolone acetonide, preservative free, 1 mg |
15 |
14 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
15 |
$936.14 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
14 |
$158.40 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
14 |
$30.24 |