| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
976 |
670 |
$63K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,027 |
716 |
$26K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
713 |
519 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
45 |
39 |
$4K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
13 |
13 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$1K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
657 |
476 |
$936.19 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
955 |
677 |
$397.88 |
| J0636 |
Injection, calcitriol, 0.1 mcg |
778 |
576 |
$310.35 |
| 90658 |
|
14 |
12 |
$232.04 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$150.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
12 |
$93.62 |
| 36415 |
Collection of venous blood by venipuncture |
115 |
95 |
$11.90 |