| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,854 |
4,634 |
$262K |
| 99199 |
Unlisted special service, procedure or report |
38,045 |
16,361 |
$210K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,796 |
2,087 |
$95K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,016 |
616 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 99406 |
|
174 |
150 |
$1K |
| 99215 |
Prolong outpt/office vis |
28 |
14 |
$1K |
| 99442 |
|
19 |
13 |
$217.15 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
124 |
100 |
$80.94 |
| 82962 |
|
23 |
15 |
$20.23 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
80 |
70 |
$7.92 |