| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96401 |
|
1,114 |
383 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
588 |
508 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
256 |
218 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
353 |
136 |
$2K |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
32 |
32 |
$403.20 |
| 99490 |
Ccm add 20min |
26 |
26 |
$230.63 |
| 36415 |
Collection of venous blood by venipuncture |
162 |
157 |
$124.41 |
| J9260 |
Injection, methotrexate sodium, 50 mg |
94 |
25 |
$12.56 |
| 1111F |
|
618 |
500 |
$0.00 |
| 1159F |
|
547 |
444 |
$0.00 |
| 1160F |
|
524 |
428 |
$0.00 |