| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,517 |
2,323 |
$45K |
| 94760 |
|
2,144 |
1,544 |
$4K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
575 |
391 |
$4K |
| 99442 |
|
94 |
84 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
323 |
218 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,143 |
706 |
$2K |
| 99415 |
Prolong outpt/office vis |
69 |
50 |
$250.27 |
| 36410 |
|
69 |
37 |
$16.57 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
643 |
501 |
$7.68 |
| J2300 |
Injection, nalbuphine hydrochloride, per 10 mg |
576 |
448 |
$7.62 |
| 99416 |
Prolong outpt/office vis |
30 |
19 |
$4.45 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
104 |
87 |
$4.31 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
139 |
109 |
$2.14 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
98 |
87 |
$1.78 |
| 3075F |
|
732 |
602 |
$0.00 |
| 3079F |
|
810 |
697 |
$0.00 |
| 3074F |
|
1,134 |
912 |
$0.00 |
| 3044F |
|
38 |
38 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
30 |
16 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
65 |
35 |
$0.00 |
| 1125F |
|
60 |
58 |
$0.00 |
| 3008F |
|
24 |
12 |
$0.00 |
| 3080F |
|
178 |
151 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
12 |
$0.00 |
| 3061F |
|
12 |
12 |
$0.00 |
| 1160F |
|
39 |
31 |
$0.00 |
| 3078F |
|
1,222 |
938 |
$0.00 |
| 3077F |
|
388 |
319 |
$0.00 |
| 1159F |
|
39 |
31 |
$0.00 |
| J1580 |
Injection, garamycin, gentamicin, up to 80 mg |
15 |
13 |
$0.00 |
| 82947 |
|
208 |
167 |
$0.00 |
| 96160 |
|
39 |
31 |
$0.00 |