| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,023 |
3,240 |
$201K |
| 99199 |
Unlisted special service, procedure or report |
24,125 |
16,075 |
$78K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
882 |
676 |
$34K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,686 |
731 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
347 |
162 |
$8K |
| 99215 |
Prolong outpt/office vis |
65 |
50 |
$4K |
| 99401 |
|
97 |
85 |
$1K |
| 99454 |
|
54 |
40 |
$527.78 |
| 90756 |
|
24 |
17 |
$253.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
23 |
14 |
$154.70 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
32 |
29 |
$139.51 |
| 99406 |
|
22 |
15 |
$110.85 |
| J3490 |
Unclassified drugs |
1,043 |
428 |
$0.00 |