| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,135 |
2,577 |
$76K |
| 99444 |
|
840 |
242 |
$47K |
| 99215 |
Prolong outpt/office vis |
676 |
582 |
$29K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,923 |
1,382 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
468 |
420 |
$11K |
| 99423 |
|
170 |
68 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
399 |
367 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
134 |
116 |
$1K |
| 99422 |
|
55 |
26 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
131 |
106 |
$362.78 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
939 |
733 |
$236.92 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
506 |
398 |
$227.14 |
| 80305 |
|
14 |
12 |
$74.06 |
| H0049 |
Alcohol and/or drug screening |
15 |
14 |
$40.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
31 |
26 |
$6.50 |
| 82962 |
|
45 |
38 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
29 |
26 |
$0.00 |