| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,840 |
1,689 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$362.10 |
| 99000 |
|
153 |
150 |
$159.01 |
| 81025 |
|
24 |
24 |
$104.44 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$99.04 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
263 |
256 |
$51.28 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
169 |
168 |
$50.13 |
| 94760 |
|
73 |
71 |
$5.53 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
18 |
18 |
$0.00 |
| 81000 |
|
20 |
20 |
$0.00 |
| 3008F |
|
36 |
36 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |
| 1158F |
|
35 |
35 |
$0.00 |
| 81002 |
|
13 |
12 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
37 |
37 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
13 |
13 |
$0.00 |