| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
185 |
176 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
77 |
77 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
23 |
23 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
50 |
50 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
85 |
81 |
$934.32 |
| 99401 |
|
14 |
13 |
$220.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
64 |
61 |
$91.30 |
| 36415 |
Collection of venous blood by venipuncture |
17 |
17 |
$67.50 |
| 99000 |
|
53 |
53 |
$29.82 |
| 81003 |
|
15 |
15 |
$22.44 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
13 |
13 |
$13.54 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
25 |
25 |
$7.04 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
50 |
45 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
139 |
131 |
$0.00 |