| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,776 |
4,753 |
$226K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,850 |
4,192 |
$145K |
| 90688 |
|
436 |
382 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
296 |
264 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,429 |
1,015 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,072 |
949 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
13 |
$802.84 |
| 99215 |
Prolong outpt/office vis |
25 |
14 |
$764.37 |
| 82962 |
|
163 |
143 |
$265.12 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
100 |
87 |
$156.95 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
42 |
39 |
$28.47 |
| 81002 |
|
14 |
12 |
$27.94 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
89 |
69 |
$8.48 |
| G0008 |
Administration of influenza virus vaccine |
61 |
54 |
$0.00 |