| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,441 |
3,210 |
$226K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
973 |
780 |
$34K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
421 |
334 |
$23K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,053 |
781 |
$12K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,689 |
1,323 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
62 |
51 |
$2K |
| 87430 |
|
247 |
207 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
203 |
160 |
$2K |
| 36416 |
|
1,641 |
1,291 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
40 |
34 |
$991.49 |
| 36415 |
Collection of venous blood by venipuncture |
298 |
260 |
$480.82 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
54 |
47 |
$219.56 |
| 81002 |
|
45 |
43 |
$87.63 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
101 |
78 |
$70.50 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
245 |
195 |
$20.85 |
| 81003 |
|
12 |
12 |
$20.47 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
12 |
$8.30 |
| 99000 |
|
188 |
175 |
$0.00 |