| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
280 |
220 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
226 |
194 |
$560.51 |
| 80305 |
|
223 |
161 |
$364.66 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
220 |
191 |
$130.66 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
127 |
97 |
$9.93 |
| 3077F |
|
56 |
50 |
$0.00 |
| 3078F |
|
12 |
12 |
$0.00 |
| 3079F |
|
21 |
20 |
$0.00 |
| 3080F |
|
35 |
31 |
$0.00 |
| 3075F |
|
15 |
14 |
$0.00 |