| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,275 |
5,174 |
$265K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,084 |
2,152 |
$106K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,538 |
2,962 |
$20K |
| 99215 |
Prolong outpt/office vis |
72 |
67 |
$5K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
2,088 |
1,899 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,563 |
1,321 |
$928.68 |
| 36415 |
Collection of venous blood by venipuncture |
998 |
940 |
$800.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,013 |
2,546 |
$762.07 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
890 |
782 |
$421.61 |
| 90674 |
|
84 |
84 |
$48.10 |
| 3078F |
|
1,350 |
1,107 |
$0.00 |
| 3050F |
|
17 |
15 |
$0.00 |
| 3045F |
|
29 |
25 |
$0.00 |
| 3074F |
|
1,761 |
1,424 |
$0.00 |
| 3079F |
|
1,219 |
1,019 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
1,669 |
1,394 |
$0.00 |
| 3044F |
|
895 |
757 |
$0.00 |
| 3075F |
|
670 |
595 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
517 |
440 |
$0.00 |
| 3048F |
|
84 |
70 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
100 |
99 |
$0.00 |
| 3049F |
|
21 |
20 |
$0.00 |