| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,684 |
5,556 |
$769K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,197 |
2,377 |
$256K |
| 99215 |
Prolong outpt/office vis |
904 |
849 |
$155K |
| 76881 |
|
2,002 |
930 |
$108K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,438 |
935 |
$75K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,908 |
1,513 |
$56K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
254 |
254 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
54 |
54 |
$9K |
| 20611 |
|
66 |
51 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
3,224 |
3,154 |
$3K |
| 95886 |
|
13 |
12 |
$2K |
| 99072 |
|
192 |
146 |
$428.75 |
| J9260 |
Injection, methotrexate sodium, 50 mg |
55 |
41 |
$58.67 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
24 |
13 |
$43.23 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
98 |
74 |
$30.78 |
| A4215 |
Needle, sterile, any size, each |
83 |
62 |
$9.97 |
| J0135 |
Injection, adalimumab, 20 mg |
187 |
136 |
$0.49 |
| J3490 |
Unclassified drugs |
353 |
194 |
$0.27 |