| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,085 |
2,968 |
$84K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,551 |
1,170 |
$50K |
| 90791 |
Psychiatric diagnostic evaluation |
261 |
191 |
$11K |
| T1015 |
Clinic visit/encounter, all-inclusive |
167 |
140 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
78 |
69 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,216 |
954 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
198 |
135 |
$131.33 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
43 |
29 |
$0.10 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
17 |
15 |
$0.00 |