| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,275 |
786 |
$841.65 |
| 1158F |
|
70 |
32 |
$24.00 |
| 1157F |
|
27 |
26 |
$24.00 |
| 3078F |
|
246 |
172 |
$20.00 |
| 3074F |
|
253 |
174 |
$20.00 |
| 1160F |
|
112 |
75 |
$0.00 |
| 0521F |
|
66 |
30 |
$0.00 |
| 1159F |
|
112 |
75 |
$0.00 |
| 96160 |
|
128 |
65 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
94 |
40 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
128 |
65 |
$0.00 |
| 1170F |
|
71 |
32 |
$0.00 |
| S0257 |
Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) |
38 |
12 |
$0.00 |
| 1125F |
|
70 |
30 |
$0.00 |
| 3008F |
|
13 |
12 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
48 |
40 |
$0.00 |