| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,786 |
1,548 |
$30K |
| 96160 |
|
243 |
172 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
152 |
137 |
$2K |
| 99348 |
|
748 |
713 |
$2K |
| 3074F |
|
358 |
297 |
$1K |
| 3078F |
|
357 |
296 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,450 |
1,385 |
$746.04 |
| G0008 |
Administration of influenza virus vaccine |
66 |
64 |
$537.04 |
| 3044F |
|
112 |
112 |
$499.80 |
| 3048F |
|
119 |
114 |
$450.80 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
66 |
64 |
$446.60 |
| 99441 |
|
2,300 |
2,155 |
$372.23 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
134 |
111 |
$211.67 |
| 1157F |
|
64 |
64 |
$179.34 |
| 1158F |
|
130 |
106 |
$179.34 |
| 99347 |
|
1,031 |
992 |
$40.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
18 |
12 |
$0.00 |
| 3061F |
|
78 |
78 |
$0.00 |
| 3066F |
|
12 |
12 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
177 |
132 |
$0.00 |
| 3017F |
|
79 |
79 |
$0.00 |
| 4010F |
|
12 |
12 |
$0.00 |
| 1170F |
|
191 |
151 |
$0.00 |
| 3008F |
|
18 |
13 |
$0.00 |
| 1126F |
|
83 |
55 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
32 |
32 |
$0.00 |
| 1125F |
|
36 |
36 |
$0.00 |
| S0257 |
Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) |
56 |
33 |
$0.00 |
| 1159F |
|
171 |
138 |
$0.00 |
| 1160F |
|
168 |
135 |
$0.00 |
| 99334 |
|
29 |
29 |
$0.00 |
| 0521F |
|
39 |
39 |
$0.00 |
| 2022F |
|
18 |
18 |
$0.00 |