| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,351 |
2,026 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,155 |
788 |
$19K |
| 95923 |
|
271 |
267 |
$10K |
| 99490 |
Ccm add 20min |
786 |
777 |
$7K |
| 76881 |
|
270 |
133 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
131 |
93 |
$3K |
| 93925 |
|
17 |
17 |
$687.09 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
376 |
183 |
$552.52 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
19 |
$297.50 |
| 90658 |
|
23 |
23 |
$99.03 |
| 97760 |
|
79 |
70 |
$59.38 |
| 80305 |
|
89 |
89 |
$12.93 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
37 |
36 |
$3.84 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
14 |
12 |
$1.81 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
32 |
32 |
$0.00 |
| 99335 |
|
20 |
20 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
40 |
40 |
$0.00 |
| 99325 |
|
44 |
40 |
$0.00 |
| 95921 |
|
274 |
270 |
$0.00 |
| 97763 |
|
14 |
14 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
41 |
41 |
$0.00 |
| 99072 |
|
39 |
33 |
$0.00 |
| 81007 |
|
13 |
12 |
$0.00 |