| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,925 |
3,169 |
$66K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
511 |
448 |
$16K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,129 |
1,015 |
$10K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,194 |
1,060 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
54 |
51 |
$4K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
110 |
103 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
26 |
$2K |
| J1094 |
Injection, dexamethasone acetate, 1 mg |
181 |
168 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 90670 |
|
13 |
13 |
$157.68 |
| 36415 |
Collection of venous blood by venipuncture |
39 |
38 |
$126.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
39 |
31 |
$15.13 |