| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,027 |
2,751 |
$261K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,095 |
1,006 |
$69K |
| 99215 |
Prolong outpt/office vis |
464 |
415 |
$53K |
| J0287 |
Injection, amphotericin b lipid complex, 10 mg |
119 |
91 |
$28K |
| 93922 |
|
60 |
56 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
480 |
298 |
$5K |
| 96127 |
|
693 |
630 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
20 |
13 |
$2K |
| 93923 |
|
13 |
13 |
$1K |
| 94760 |
|
544 |
410 |
$957.20 |
| 93040 |
|
29 |
29 |
$283.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
28 |
25 |
$115.70 |
| 81025 |
|
15 |
12 |
$94.46 |
| 96161 |
|
32 |
27 |
$20.82 |
| 3078F |
|
17 |
16 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
28 |
26 |
$0.00 |
| 3074F |
|
17 |
16 |
$0.00 |