| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,692 |
3,877 |
$187K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,992 |
2,512 |
$92K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,650 |
1,170 |
$15K |
| 99215 |
Prolong outpt/office vis |
68 |
60 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
12 |
$448.06 |
| 90756 |
|
35 |
33 |
$408.11 |
| G0008 |
Administration of influenza virus vaccine |
35 |
33 |
$151.03 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
535 |
467 |
$72.97 |
| 36415 |
Collection of venous blood by venipuncture |
43 |
39 |
$54.67 |
| 81002 |
|
16 |
14 |
$28.54 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$5.20 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
15 |
13 |
$4.65 |
| 96160 |
|
16 |
15 |
$2.26 |