| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,345 |
2,950 |
$94K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
950 |
570 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
241 |
204 |
$4K |
| 90688 |
|
217 |
204 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
159 |
93 |
$716.42 |
| 0011A |
|
33 |
20 |
$655.52 |
| G0008 |
Administration of influenza virus vaccine |
300 |
282 |
$630.09 |
| 36415 |
Collection of venous blood by venipuncture |
746 |
693 |
$575.33 |
| 99490 |
Ccm add 20min |
122 |
118 |
$136.59 |
| 90756 |
|
25 |
25 |
$97.62 |
| 90656 |
|
16 |
15 |
$90.58 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
44 |
41 |
$16.77 |
| 81002 |
|
15 |
12 |
$11.74 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
17 |
16 |
$5.27 |
| 91301 |
|
55 |
34 |
$0.08 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
135 |
126 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
13 |
12 |
$0.00 |
| 99397 |
|
12 |
12 |
$0.00 |