| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
162 |
138 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
169 |
139 |
$13K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
14 |
14 |
$2K |
| 93880 |
|
12 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
54 |
26 |
$878.03 |
| 99401 |
|
22 |
13 |
$43.40 |
| 3074F |
|
184 |
150 |
$30.00 |
| 3078F |
|
100 |
84 |
$25.00 |
| 1160F |
|
229 |
185 |
$0.00 |
| J3490 |
Unclassified drugs |
27 |
13 |
$0.00 |