| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,671 |
2,407 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,132 |
3,669 |
$28K |
| 99384 |
|
15 |
15 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
108 |
103 |
$2K |
| 99383 |
|
13 |
13 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
69 |
66 |
$2K |
| 92551 |
|
131 |
131 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
25 |
$216.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
25 |
24 |
$116.84 |
| 81001 |
|
29 |
29 |
$62.14 |
| 85018 |
|
30 |
30 |
$49.61 |