| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
876 |
629 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
601 |
396 |
$5K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
286 |
211 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
454 |
238 |
$84.25 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
78 |
38 |
$0.61 |
| 36415 |
Collection of venous blood by venipuncture |
196 |
134 |
$0.00 |
| 99000 |
|
223 |
153 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
16 |
13 |
$0.00 |
| 90688 |
|
18 |
14 |
$0.00 |