| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,891 |
2,197 |
$100K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,427 |
1,076 |
$35K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
271 |
236 |
$17K |
| 99406 |
|
894 |
685 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
477 |
372 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
77 |
72 |
$4K |
| 99491 |
Ccm add 20min |
80 |
69 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
17 |
17 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
48 |
43 |
$533.79 |
| 90686 |
|
35 |
31 |
$447.42 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
20 |
12 |
$438.05 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
159 |
136 |
$275.66 |
| 90756 |
|
15 |
12 |
$146.98 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
20 |
13 |
$90.69 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
17 |
13 |
$44.73 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
22 |
13 |
$1.56 |
| 3074F |
|
55 |
47 |
$0.46 |
| 3078F |
|
50 |
43 |
$0.41 |