| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,606 |
9,354 |
$321K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,013 |
2,426 |
$121K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
718 |
548 |
$16K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,250 |
835 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
2,905 |
2,449 |
$8K |
| 90674 |
|
183 |
153 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
202 |
160 |
$1K |
| 90756 |
|
70 |
53 |
$538.26 |
| 99442 |
|
39 |
31 |
$230.36 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
423 |
363 |
$143.28 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
279 |
245 |
$109.03 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
18 |
15 |
$17.99 |
| 96127 |
|
16 |
16 |
$1.79 |
| 4004F |
|
13 |
12 |
$0.00 |
| 3008F |
|
108 |
103 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
16 |
15 |
$0.00 |
| 1125F |
|
94 |
89 |
$0.00 |