| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,820 |
11,776 |
$780K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,054 |
2,742 |
$213K |
| 80305 |
|
13,174 |
11,721 |
$127K |
| 99215 |
Prolong outpt/office vis |
665 |
550 |
$57K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,394 |
1,216 |
$28K |
| 99442 |
|
176 |
147 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
57 |
57 |
$7K |
| 99205 |
Prolong outpt/office vis |
27 |
27 |
$4K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
850 |
793 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
162 |
159 |
$3K |
| 90686 |
|
163 |
163 |
$2K |
| 90688 |
|
38 |
36 |
$489.84 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
281 |
261 |
$487.87 |
| 90658 |
|
15 |
15 |
$167.08 |
| G0008 |
Administration of influenza virus vaccine |
59 |
58 |
$48.00 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
15 |
$43.70 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$20.99 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
25 |
25 |
$17.69 |