| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,412 |
1,375 |
$134K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
931 |
897 |
$61K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
306 |
306 |
$45K |
| 64635 |
|
148 |
123 |
$30K |
| 99152 |
|
709 |
658 |
$26K |
| 64483 |
|
130 |
120 |
$15K |
| 64636 |
|
124 |
101 |
$13K |
| 64493 |
|
28 |
28 |
$3K |
| 64633 |
|
16 |
12 |
$3K |
| 64479 |
|
14 |
14 |
$2K |
| 64495 |
|
27 |
27 |
$2K |
| 64634 |
|
16 |
12 |
$2K |
| 64494 |
|
27 |
27 |
$2K |
| 27096 |
|
12 |
12 |
$1K |
| 20610 |
|
19 |
13 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$251.10 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$58.68 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
18 |
17 |
$17.20 |