| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
421 |
405 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
723 |
688 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
125 |
116 |
$1K |
| 99152 |
|
107 |
100 |
$39.84 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
384 |
357 |
$27.26 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
16 |
$24.78 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
15 |
$5.89 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
13 |
$0.00 |