| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,014 |
2,531 |
$390K |
| 99215 |
Prolong outpt/office vis |
887 |
361 |
$81K |
| 99401 |
|
1,863 |
1,017 |
$43K |
| 99402 |
|
1,251 |
537 |
$39K |
| 99404 |
|
690 |
291 |
$36K |
| 99406 |
|
3,597 |
1,648 |
$20K |
| 82075 |
|
1,201 |
660 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
69 |
66 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
535 |
312 |
$6K |
| 99205 |
Prolong outpt/office vis |
17 |
14 |
$2K |
| 80305 |
|
87 |
52 |
$368.66 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
84 |
44 |
$99.39 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
77 |
50 |
$72.64 |
| 96127 |
|
25 |
25 |
$64.58 |
| 81025 |
|
14 |
12 |
$63.90 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
52 |
29 |
$1.56 |
| 99408 |
|
15 |
14 |
$0.00 |