| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,355 |
3,068 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,623 |
3,202 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,503 |
2,260 |
$8K |
| 20553 |
|
789 |
756 |
$1K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
50 |
50 |
$774.80 |
| 20611 |
|
115 |
113 |
$600.27 |
| 93931 |
|
29 |
29 |
$466.42 |
| 93880 |
|
29 |
29 |
$254.99 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
341 |
327 |
$32.31 |
| 93000 |
|
15 |
15 |
$14.41 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
12 |
12 |
$14.04 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
26 |
25 |
$12.28 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
343 |
328 |
$6.11 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
183 |
148 |
$0.00 |
| 90688 |
|
278 |
235 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
468 |
353 |
$0.00 |