| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,561 |
1,225 |
$81K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,355 |
1,082 |
$40K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
384 |
291 |
$3K |
| 82570 |
|
1,442 |
1,137 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
32 |
32 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42 |
27 |
$1K |
| 20553 |
|
71 |
48 |
$935.22 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
372 |
282 |
$594.35 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
141 |
102 |
$551.92 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
340 |
270 |
$536.27 |
| 80377 |
|
94 |
90 |
$0.00 |