| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
680 |
554 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
201 |
142 |
$2K |
| 20611 |
|
26 |
20 |
$832.33 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
49 |
32 |
$526.99 |
| 82947 |
|
243 |
220 |
$480.37 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
173 |
142 |
$380.01 |
| 85652 |
|
242 |
219 |
$325.18 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
58 |
55 |
$289.93 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
144 |
120 |
$234.84 |
| 20552 |
|
16 |
13 |
$233.19 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
23 |
22 |
$132.76 |
| 90688 |
|
13 |
13 |
$66.80 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
147 |
120 |
$46.66 |