| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,027 |
2,689 |
$145K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,148 |
1,780 |
$58K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
984 |
851 |
$43K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
27 |
27 |
$2K |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$976.04 |
| 96127 |
|
76 |
73 |
$850.05 |
| 98927 |
|
28 |
26 |
$611.58 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
17 |
$109.40 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
13 |
$15.89 |
| 3078F |
|
735 |
581 |
$0.00 |
| 3077F |
|
27 |
27 |
$0.00 |
| 3074F |
|
1,026 |
818 |
$0.00 |
| 3079F |
|
309 |
280 |
$0.00 |
| 3075F |
|
28 |
26 |
$0.00 |