| Code | Description | Claims | Beneficiaries | Total Paid |
| 80305 |
|
716 |
286 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,297 |
392 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
368 |
61 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
503 |
103 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
155 |
29 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
188 |
40 |
$0.00 |