| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,785 |
3,191 |
$288K |
| 99403 |
|
1,713 |
1,418 |
$108K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
460 |
431 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
688 |
613 |
$31K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
137 |
16 |
$26K |
| 93971 |
|
307 |
271 |
$23K |
| 93923 |
|
301 |
263 |
$23K |
| 94060 |
|
360 |
283 |
$13K |
| 95923 |
|
94 |
86 |
$9K |
| 99385 |
|
100 |
96 |
$8K |
| 93000 |
|
492 |
428 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
379 |
251 |
$5K |
| 95913 |
|
44 |
24 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
64 |
63 |
$4K |
| 95886 |
|
97 |
24 |
$4K |
| 99386 |
|
44 |
37 |
$3K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
16 |
12 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
12 |
$807.92 |
| 36415 |
Collection of venous blood by venipuncture |
314 |
279 |
$680.15 |
| 81000 |
|
293 |
259 |
$655.35 |
| 99387 |
|
15 |
12 |
$239.90 |
| 99000 |
|
135 |
128 |
$108.48 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
63 |
28 |
$72.58 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
34 |
30 |
$28.09 |