| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,310 |
5,628 |
$221K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
593 |
448 |
$10K |
| J2300 |
Injection, nalbuphine hydrochloride, per 10 mg |
1,840 |
1,341 |
$4K |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
1,643 |
1,223 |
$3K |
| 90656 |
|
173 |
148 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
13 |
$1K |
| 90756 |
|
103 |
84 |
$900.00 |
| G0008 |
Administration of influenza virus vaccine |
386 |
307 |
$691.70 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
185 |
163 |
$656.13 |
| 20610 |
|
15 |
12 |
$598.12 |
| 36415 |
Collection of venous blood by venipuncture |
547 |
516 |
$590.57 |
| 94060 |
|
15 |
12 |
$433.27 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
440 |
361 |
$340.72 |
| 81002 |
|
190 |
163 |
$269.06 |
| J1580 |
Injection, garamycin, gentamicin, up to 80 mg |
142 |
121 |
$144.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
200 |
156 |
$73.07 |