| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,039 |
4,576 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
781 |
745 |
$19K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,317 |
1,218 |
$10K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
764 |
735 |
$2K |
| 0012A |
|
12 |
12 |
$480.00 |
| 90688 |
|
28 |
27 |
$392.37 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
42 |
$348.81 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
24 |
24 |
$139.58 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$132.37 |
| 90686 |
|
13 |
13 |
$20.53 |