| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,172 |
2,213 |
$88K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,616 |
1,228 |
$69K |
| 99199 |
Unlisted special service, procedure or report |
3,909 |
3,857 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
134 |
94 |
$1K |
| 99490 |
Ccm add 20min |
22 |
22 |
$339.12 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$25.56 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
56 |
38 |
$15.11 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
19 |
12 |
$0.00 |