| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,789 |
1,427 |
$40K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
327 |
153 |
$2K |
| 90688 |
|
30 |
28 |
$258.76 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
114 |
82 |
$187.88 |
| 82962 |
|
105 |
77 |
$102.24 |
| 96127 |
|
28 |
26 |
$96.58 |
| 36415 |
Collection of venous blood by venipuncture |
83 |
53 |
$91.29 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
78 |
59 |
$70.24 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
34 |
12 |
$20.12 |
| 81002 |
|
20 |
13 |
$19.91 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
18 |
14 |
$11.75 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
44 |
37 |
$8.95 |
| 94760 |
|
203 |
130 |
$8.88 |
| 3008F |
|
137 |
74 |
$0.00 |