| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,759 |
2,416 |
$108K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,022 |
1,734 |
$59K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
121 |
108 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
71 |
67 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
553 |
306 |
$5K |
| 96127 |
|
381 |
351 |
$1K |
| 90686 |
|
70 |
66 |
$903.57 |
| 99215 |
Prolong outpt/office vis |
14 |
13 |
$608.85 |
| 99406 |
|
93 |
85 |
$577.25 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
29 |
$239.24 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
178 |
143 |
$148.31 |
| 80305 |
|
19 |
18 |
$146.12 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
100 |
73 |
$124.75 |
| 81003 |
|
46 |
37 |
$54.60 |
| 1220F |
|
12 |
12 |
$0.00 |
| 3008F |
|
104 |
94 |
$0.00 |
| 3079F |
|
18 |
14 |
$0.00 |
| 3074F |
|
20 |
15 |
$0.00 |