| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,973 |
3,844 |
$131K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,232 |
1,129 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
118 |
97 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
742 |
548 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
29 |
25 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
58 |
27 |
$902.05 |
| J1580 |
Injection, garamycin, gentamicin, up to 80 mg |
330 |
252 |
$623.35 |
| 36415 |
Collection of venous blood by venipuncture |
226 |
207 |
$216.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
33 |
31 |
$186.84 |
| J3260 |
Injection, tobramycin sulfate, up to 80 mg |
34 |
28 |
$137.42 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
235 |
156 |
$69.56 |
| G0008 |
Administration of influenza virus vaccine |
16 |
13 |
$0.00 |