| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,789 |
1,643 |
$97K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,125 |
1,070 |
$82K |
| 99215 |
Prolong outpt/office vis |
119 |
118 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
516 |
462 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
962 |
923 |
$2K |
| 0012A |
|
41 |
41 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
84 |
38 |
$982.30 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
51 |
51 |
$955.42 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
17 |
17 |
$693.12 |
| 0011A |
|
38 |
38 |
$689.40 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
44 |
43 |
$448.76 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
44 |
43 |
$231.49 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
106 |
104 |
$190.13 |
| 91301 |
|
90 |
87 |
$0.00 |
| 3074F |
|
83 |
77 |
$0.00 |
| 1159F |
|
134 |
117 |
$0.00 |
| 3078F |
|
67 |
65 |
$0.00 |
| 1160F |
|
134 |
117 |
$0.00 |