| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,640 |
6,025 |
$401K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,842 |
6,963 |
$376K |
| 99215 |
Prolong outpt/office vis |
167 |
152 |
$17K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,737 |
1,035 |
$17K |
| 90756 |
|
329 |
308 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
277 |
253 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
487 |
432 |
$2K |
| 80305 |
|
368 |
291 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
12 |
$1K |
| 99442 |
|
50 |
45 |
$1K |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
53 |
40 |
$272.40 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
22 |
17 |
$262.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
58 |
53 |
$179.85 |
| 80061 |
Lipid panel |
56 |
49 |
$134.85 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
252 |
224 |
$100.71 |
| 82962 |
|
99 |
87 |
$100.70 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
503 |
434 |
$87.35 |
| 0124A |
|
20 |
18 |
$50.00 |
| 99072 |
|
203 |
185 |
$0.00 |
| 91312 |
|
20 |
17 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
64 |
60 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
44 |
44 |
$0.00 |