| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,258 |
6,324 |
$405K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
32 |
31 |
$3K |
| 20610 |
|
86 |
26 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23 |
13 |
$515.30 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
157 |
64 |
$396.21 |
| 90656 |
|
24 |
24 |
$134.75 |
| 90674 |
|
13 |
12 |
$24.05 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
81 |
26 |
$18.76 |
| 94760 |
|
23 |
21 |
$10.98 |
| G0008 |
Administration of influenza virus vaccine |
48 |
43 |
$0.00 |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
83 |
26 |
$0.00 |