| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,740 |
1,866 |
$43K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,289 |
981 |
$19K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
635 |
428 |
$4K |
| 99457 |
|
442 |
318 |
$509.45 |
| 99454 |
|
287 |
207 |
$403.50 |
| 99490 |
Ccm add 20min |
322 |
225 |
$263.91 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
95 |
63 |
$88.11 |
| 99458 |
|
95 |
69 |
$72.86 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
63 |
45 |
$25.91 |
| 99453 |
|
16 |
14 |
$21.72 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
24 |
14 |
$14.30 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
14 |
14 |
$13.38 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
93 |
70 |
$7.08 |
| 1170F |
|
97 |
62 |
$0.00 |
| 1101F |
|
22 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
14 |
12 |
$0.00 |