| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
491 |
427 |
$38K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
12 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
13 |
$608.38 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
33 |
28 |
$405.68 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$396.98 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
55 |
43 |
$355.30 |
| 36415 |
Collection of venous blood by venipuncture |
195 |
174 |
$260.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
16 |
15 |
$168.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
13 |
$87.48 |
| 3077F |
|
58 |
52 |
$0.00 |
| 3078F |
|
326 |
285 |
$0.00 |
| 3074F |
|
286 |
242 |
$0.00 |
| 3080F |
|
19 |
16 |
$0.00 |
| 3079F |
|
88 |
78 |
$0.00 |
| 3075F |
|
102 |
92 |
$0.00 |