| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
829 |
721 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
268 |
239 |
$4K |
| 99215 |
Prolong outpt/office vis |
14 |
12 |
$756.04 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
90 |
83 |
$427.04 |
| 71046 |
Radiologic examination, chest; 2 views |
27 |
26 |
$171.25 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
115 |
96 |
$67.87 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
18 |
14 |
$6.96 |