| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,502 |
1,365 |
$79K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
68 |
68 |
$8K |
| 82962 |
|
451 |
411 |
$666.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
141 |
121 |
$640.00 |
| 93922 |
|
15 |
15 |
$493.30 |
| 94060 |
|
14 |
14 |
$288.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
46 |
39 |
$50.74 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
29 |
25 |
$10.39 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
28 |
28 |
$8.68 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
18 |
18 |
$0.00 |