| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,530 |
8,094 |
$561K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,398 |
4,460 |
$205K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
411 |
401 |
$35K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,946 |
1,615 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
158 |
138 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
62 |
62 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
127 |
51 |
$2K |
| 94760 |
|
1,304 |
1,021 |
$2K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
338 |
317 |
$447.00 |
| 71046 |
Radiologic examination, chest; 2 views |
39 |
27 |
$420.00 |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$345.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
289 |
240 |
$302.04 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
653 |
584 |
$115.94 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
166 |
141 |
$0.00 |
| S9083 |
Global fee urgent care centers |
96 |
72 |
$0.00 |