| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99443 |
|
1,329 |
682 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
946 |
595 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
885 |
316 |
$6K |
| 99215 |
Prolong outpt/office vis |
637 |
378 |
$6K |
| 99442 |
|
114 |
95 |
$544.02 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
13 |
$371.76 |
| 90662 |
|
95 |
77 |
$174.95 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
31 |
31 |
$109.12 |
| G0008 |
Administration of influenza virus vaccine |
95 |
77 |
$50.78 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
45 |
43 |
$4.28 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
30 |
29 |
$1.36 |