| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,459 |
2,918 |
$5K |
| 11446 |
|
478 |
439 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,492 |
1,700 |
$498.07 |
| 46050 |
|
12 |
12 |
$264.31 |
| 99406 |
|
1,612 |
999 |
$253.52 |
| 10060 |
|
560 |
472 |
$211.99 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,588 |
649 |
$115.79 |
| 11730 |
|
32 |
27 |
$57.98 |
| 69210 |
|
42 |
41 |
$43.57 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
44 |
29 |
$35.83 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,919 |
1,796 |
$12.73 |
| 72040 |
|
27 |
14 |
$11.28 |
| 69220 |
|
28 |
27 |
$10.98 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,840 |
1,236 |
$7.49 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
384 |
241 |
$6.78 |
| 20553 |
|
85 |
78 |
$5.62 |
| 72100 |
|
29 |
15 |
$2.80 |
| 20610 |
|
13 |
13 |
$1.18 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
407 |
102 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,038 |
375 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
484 |
313 |
$0.00 |
| 73560 |
|
52 |
14 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
61 |
60 |
$0.00 |
| 73030 |
|
52 |
14 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$0.00 |