| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,131 |
1,747 |
$82K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,119 |
846 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
244 |
209 |
$7K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
773 |
631 |
$842.35 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
38 |
28 |
$358.46 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
321 |
263 |
$323.29 |
| 90688 |
|
27 |
20 |
$281.56 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
12 |
$266.82 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
617 |
515 |
$147.18 |
| 3074F |
|
30 |
28 |
$30.00 |
| J1580 |
Injection, garamycin, gentamicin, up to 80 mg |
12 |
12 |
$14.97 |
| 3079F |
|
16 |
15 |
$10.00 |