| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,400 |
4,827 |
$179K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,340 |
1,298 |
$35K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
292 |
163 |
$9K |
| 99490 |
Ccm add 20min |
849 |
613 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
358 |
217 |
$3K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
55 |
25 |
$2K |
| 99215 |
Prolong outpt/office vis |
20 |
12 |
$381.43 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
101 |
81 |
$46.14 |
| 99457 |
|
24 |
16 |
$18.34 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
69 |
42 |
$9.74 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
47 |
28 |
$7.68 |
| 3078F |
|
15 |
13 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
27 |
13 |
$0.00 |