| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,599 |
3,289 |
$104K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,358 |
1,078 |
$38K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
866 |
666 |
$5K |
| 99215 |
Prolong outpt/office vis |
32 |
28 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$558.48 |
| 99401 |
|
47 |
37 |
$351.20 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
13 |
$326.30 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
35 |
16 |
$194.95 |
| 90674 |
|
12 |
12 |
$143.99 |
| 99442 |
|
28 |
13 |
$109.20 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
29 |
24 |
$12.07 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
119 |
96 |
$8.49 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$0.00 |