| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,567 |
7,249 |
$205K |
| 52000 |
|
1,060 |
1,058 |
$65K |
| 76872 |
|
994 |
984 |
$43K |
| 76775 |
|
1,462 |
1,456 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
670 |
663 |
$25K |
| J9217 |
Leuprolide acetate (for depot suspension), 7.5 mg |
340 |
340 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
225 |
225 |
$18K |
| 51741 |
|
2,726 |
2,636 |
$12K |
| 51798 |
|
3,302 |
3,164 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,283 |
1,229 |
$5K |
| 81002 |
|
5,239 |
5,042 |
$3K |
| 52281 |
|
29 |
28 |
$3K |
| 96402 |
|
365 |
364 |
$3K |
| J1071 |
Injection, testosterone cypionate, 1 mg |
723 |
676 |
$2K |
| 93980 |
|
51 |
51 |
$1K |
| 51729 |
|
12 |
12 |
$760.44 |
| 36415 |
Collection of venous blood by venipuncture |
3,232 |
3,209 |
$511.32 |
| 51797 |
|
12 |
12 |
$310.96 |
| 51784 |
|
12 |
12 |
$88.70 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
30 |
30 |
$20.50 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
66 |
66 |
$0.99 |
| J2440 |
Injection, papaverine hcl, up to 60 mg |
24 |
24 |
$0.00 |
| J0270 |
Injection, alprostadil, 1.25 mcg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) |
24 |
24 |
$0.00 |
| 54235 |
|
37 |
37 |
$0.00 |
| J2760 |
Injection, phentolamine mesylate, up to 5 mg |
25 |
25 |
$0.00 |