| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,169 |
4,474 |
$257K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,678 |
4,515 |
$118K |
| 99354 |
|
1,003 |
633 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
556 |
394 |
$2K |
| 99406 |
|
1,723 |
1,224 |
$2K |
| 20610 |
|
119 |
102 |
$2K |
| 99000 |
|
1,413 |
962 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
152 |
55 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
13 |
$966.96 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
85 |
74 |
$762.25 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
102 |
82 |
$708.78 |
| 80306 |
|
241 |
134 |
$670.21 |
| 81001 |
|
517 |
433 |
$485.29 |
| 80305 |
|
141 |
91 |
$328.35 |
| 99491 |
Ccm add 20min |
338 |
291 |
$287.03 |
| 99490 |
Ccm add 20min |
355 |
290 |
$247.80 |
| 90686 |
|
38 |
29 |
$215.09 |
| 36415 |
Collection of venous blood by venipuncture |
213 |
141 |
$163.50 |
| 36410 |
|
44 |
40 |
$37.14 |
| 81000 |
|
170 |
94 |
$23.43 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
152 |
124 |
$6.14 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
89 |
75 |
$0.08 |
| G0008 |
Administration of influenza virus vaccine |
30 |
27 |
$0.00 |
| 99439 |
|
112 |
86 |
$0.00 |