| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,805 |
1,587 |
$65K |
| 99215 |
Prolong outpt/office vis |
502 |
442 |
$34K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
221 |
169 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
106 |
90 |
$2K |
| 99490 |
Ccm add 20min |
351 |
344 |
$1K |
| 90756 |
|
129 |
119 |
$902.14 |
| 82962 |
|
731 |
618 |
$659.20 |
| 36415 |
Collection of venous blood by venipuncture |
350 |
314 |
$504.28 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
181 |
153 |
$449.61 |
| 81002 |
|
57 |
49 |
$93.90 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
16 |
15 |
$86.32 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
181 |
154 |
$41.13 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
29 |
27 |
$10.80 |
| G0008 |
Administration of influenza virus vaccine |
58 |
57 |
$0.00 |
| 3074F |
|
12 |
12 |
$0.00 |
| 1126F |
|
13 |
12 |
$0.00 |
| 1170F |
|
14 |
13 |
$0.00 |
| 3078F |
|
126 |
118 |
$0.00 |
| 1159F |
|
14 |
13 |
$0.00 |
| 3077F |
|
45 |
43 |
$0.00 |
| 1160F |
|
14 |
13 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
14 |
14 |
$0.00 |