| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,087 |
2,772 |
$167K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,273 |
1,922 |
$86K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,952 |
1,591 |
$15K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
430 |
394 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
201 |
126 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
208 |
205 |
$366.03 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
485 |
454 |
$188.70 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
32 |
29 |
$50.41 |
| 3078F |
|
1,900 |
1,700 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
54 |
46 |
$0.00 |
| 3077F |
|
123 |
110 |
$0.00 |
| 3074F |
|
1,500 |
1,328 |
$0.00 |
| 3079F |
|
55 |
50 |
$0.00 |
| 3075F |
|
80 |
76 |
$0.00 |