| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,497 |
1,814 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,767 |
1,186 |
$18K |
| 99215 |
Prolong outpt/office vis |
634 |
470 |
$9K |
| 99443 |
|
349 |
199 |
$3K |
| 99457 |
|
321 |
285 |
$3K |
| 99458 |
|
287 |
235 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
44 |
30 |
$676.25 |
| 99454 |
|
88 |
77 |
$632.24 |
| 99484 |
|
66 |
66 |
$470.45 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
259 |
170 |
$451.17 |
| 36415 |
Collection of venous blood by venipuncture |
1,177 |
699 |
$397.17 |
| 99442 |
|
73 |
27 |
$226.15 |
| 99490 |
Ccm add 20min |
33 |
14 |
$102.73 |
| 96127 |
|
86 |
60 |
$77.44 |
| 99453 |
|
24 |
21 |
$37.71 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
105 |
69 |
$7.72 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
13 |
$4.79 |