| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,821 |
3,175 |
$237K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,378 |
2,289 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
142 |
85 |
$136.40 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
62 |
42 |
$60.45 |
| 36415 |
Collection of venous blood by venipuncture |
66 |
44 |
$3.45 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
76 |
67 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
134 |
121 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
79 |
69 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
314 |
161 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
29 |
27 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
593 |
430 |
$0.00 |
| 82962 |
|
176 |
154 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
39 |
28 |
$0.00 |
| 99307 |
|
48 |
25 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
23 |
13 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
16 |
16 |
$0.00 |