| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,805 |
2,583 |
$120K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
779 |
633 |
$17K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
596 |
460 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
127 |
103 |
$6K |
| 3008F |
|
210 |
126 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
13 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
943 |
781 |
$1K |
| 90686 |
|
54 |
51 |
$579.78 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
28 |
25 |
$547.34 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
61 |
53 |
$316.25 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
15 |
12 |
$309.38 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
23 |
13 |
$195.47 |
| 81005 |
|
56 |
45 |
$75.86 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
34 |
26 |
$40.45 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
52 |
45 |
$31.69 |
| 1111F |
|
17 |
17 |
$20.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |