| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,897 |
3,041 |
$97K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,421 |
1,999 |
$85K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,774 |
1,389 |
$16K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
637 |
544 |
$4K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
639 |
533 |
$866.73 |
| 3008F |
|
620 |
509 |
$720.00 |
| 1159F |
|
626 |
516 |
$691.00 |
| 1160F |
|
626 |
516 |
$691.00 |
| 90686 |
|
104 |
99 |
$651.05 |
| 90756 |
|
48 |
48 |
$437.45 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
40 |
40 |
$374.32 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
363 |
258 |
$264.43 |
| 81002 |
|
103 |
83 |
$170.74 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
48 |
36 |
$30.57 |
| G0008 |
Administration of influenza virus vaccine |
58 |
58 |
$20.82 |
| 99490 |
Ccm add 20min |
14 |
14 |
$11.71 |
| 3077F |
|
24 |
22 |
$11.16 |
| 3078F |
|
59 |
58 |
$11.00 |
| 3079F |
|
20 |
18 |
$10.00 |
| 3080F |
|
12 |
12 |
$1.15 |
| 3074F |
|
37 |
37 |
$1.00 |
| 1090F |
|
17 |
15 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |
| 1101F |
|
17 |
15 |
$0.00 |
| 1170F |
|
17 |
15 |
$0.00 |