| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,188 |
4,408 |
$82K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,104 |
1,813 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
104 |
101 |
$4K |
| G0268 |
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing |
344 |
323 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
556 |
453 |
$2K |
| 20611 |
|
160 |
125 |
$1K |
| J7325 |
Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg |
74 |
31 |
$891.98 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
53 |
52 |
$615.09 |
| 93000 |
|
149 |
135 |
$581.67 |
| 92567 |
|
163 |
160 |
$451.69 |
| 92553 |
|
172 |
171 |
$273.37 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
81 |
59 |
$45.57 |
| 90674 |
|
12 |
12 |
$5.89 |
| 36415 |
Collection of venous blood by venipuncture |
49 |
41 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
16 |
$0.00 |