| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,176 |
10,909 |
$385K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,072 |
844 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
83 |
57 |
$707.85 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$551.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
80 |
62 |
$500.43 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
140 |
133 |
$492.80 |
| 90688 |
|
70 |
45 |
$449.05 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
234 |
211 |
$144.41 |
| 99000 |
|
14 |
13 |
$40.29 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
13 |
12 |
$37.82 |
| J3490 |
Unclassified drugs |
28 |
25 |
$33.90 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$32.65 |
| 99070 |
|
91 |
67 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |