| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
360 |
293 |
$11K |
| 94060 |
|
153 |
132 |
$5K |
| 95923 |
|
33 |
20 |
$3K |
| 95943 |
|
33 |
20 |
$2K |
| 94664 |
|
203 |
172 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
43 |
37 |
$2K |
| 93922 |
|
33 |
20 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
154 |
132 |
$1K |
| 99406 |
|
134 |
113 |
$887.98 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
108 |
96 |
$653.77 |
| J0735 |
Injection, clonidine hydrochloride, 1 mg |
16 |
16 |
$182.01 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
97 |
94 |
$116.76 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
22 |
21 |
$101.91 |
| 82962 |
|
24 |
20 |
$74.10 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
66 |
61 |
$34.16 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
32 |
31 |
$24.68 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
133 |
120 |
$13.71 |