| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,415 |
13,677 |
$398K |
| 93000 |
|
1,822 |
1,808 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
267 |
267 |
$17K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
191 |
186 |
$8K |
| 99401 |
|
391 |
388 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
328 |
321 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
838 |
811 |
$4K |
| 90674 |
|
179 |
179 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
293 |
293 |
$1K |
| 99397 |
|
78 |
70 |
$1K |
| 90686 |
|
68 |
68 |
$864.26 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
506 |
495 |
$739.41 |
| 99385 |
|
12 |
12 |
$601.52 |
| 99490 |
Ccm add 20min |
622 |
619 |
$573.29 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$568.05 |
| 99497 |
|
76 |
76 |
$411.39 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
13 |
13 |
$118.89 |
| 3074F |
|
205 |
204 |
$9.00 |
| 3078F |
|
192 |
191 |
$8.00 |
| 1160F |
|
28 |
27 |
$0.00 |
| 90661 |
|
29 |
29 |
$0.00 |