| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,301 |
3,061 |
$183K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,395 |
3,770 |
$135K |
| 99401 |
|
266 |
168 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
224 |
150 |
$3K |
| 93975 |
|
15 |
14 |
$2K |
| 93000 |
|
163 |
137 |
$2K |
| 81001 |
|
1,316 |
973 |
$2K |
| 82947 |
|
906 |
678 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
26 |
26 |
$1K |
| 84703 |
|
228 |
149 |
$1K |
| 94760 |
|
216 |
178 |
$950.38 |
| 94375 |
|
44 |
25 |
$830.95 |
| 36415 |
Collection of venous blood by venipuncture |
662 |
519 |
$692.59 |
| 99443 |
|
21 |
20 |
$629.32 |
| 3008F |
|
342 |
220 |
$410.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
104 |
72 |
$127.94 |
| 3078F |
|
12 |
12 |
$0.00 |