| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,944 |
4,593 |
$213K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
747 |
602 |
$21K |
| 93922 |
|
215 |
83 |
$5K |
| 95923 |
|
122 |
84 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
61 |
50 |
$3K |
| 99215 |
Prolong outpt/office vis |
43 |
37 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
201 |
171 |
$2K |
| 95943 |
|
115 |
84 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
13 |
$911.86 |
| 36415 |
Collection of venous blood by venipuncture |
404 |
340 |
$420.55 |
| 90686 |
|
24 |
14 |
$291.27 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
12 |
$210.13 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
12 |
$179.78 |
| 90656 |
|
16 |
14 |
$155.67 |
| 3078F |
|
255 |
217 |
$130.00 |
| 99406 |
|
24 |
14 |
$122.99 |
| 3079F |
|
159 |
140 |
$120.00 |
| 3077F |
|
158 |
140 |
$110.00 |
| 3075F |
|
106 |
88 |
$60.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
62 |
50 |
$53.70 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
157 |
134 |
$51.43 |
| 3074F |
|
241 |
213 |
$50.00 |
| 3080F |
|
77 |
68 |
$50.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
264 |
230 |
$17.27 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
14 |
$3.71 |
| 94760 |
|
147 |
116 |
$3.45 |
| 3044F |
|
17 |
15 |
$0.00 |