| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,805 |
1,408 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
142 |
136 |
$180.54 |
| 93000 |
|
310 |
307 |
$158.83 |
| 90656 |
|
139 |
139 |
$155.13 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
244 |
235 |
$78.58 |
| 36410 |
|
546 |
529 |
$15.12 |
| 3078F |
|
162 |
154 |
$0.00 |
| 94664 |
|
25 |
25 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
64 |
62 |
$0.00 |
| 3008F |
|
302 |
297 |
$0.00 |
| 3074F |
|
132 |
125 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
113 |
109 |
$0.00 |
| 3079F |
|
28 |
27 |
$0.00 |
| 3075F |
|
13 |
12 |
$0.00 |
| 11730 |
|
24 |
24 |
$0.00 |