| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,212 |
3,695 |
$166K |
| 99215 |
Prolong outpt/office vis |
536 |
473 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
138 |
130 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
587 |
450 |
$3K |
| 80305 |
|
683 |
639 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,127 |
1,038 |
$1K |
| 90686 |
|
88 |
86 |
$494.78 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
25 |
$380.50 |
| 90688 |
|
76 |
64 |
$285.44 |
| 99442 |
|
19 |
15 |
$141.40 |
| 82962 |
|
197 |
177 |
$91.45 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
32 |
26 |
$19.20 |
| G0008 |
Administration of influenza virus vaccine |
119 |
110 |
$14.67 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
29 |
25 |
$14.14 |
| 1159F |
|
156 |
147 |
$0.00 |
| 1160F |
|
20 |
17 |
$0.00 |
| 1126F |
|
46 |
45 |
$0.00 |
| 1125F |
|
223 |
207 |
$0.00 |
| 1170F |
|
286 |
266 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
20 |
20 |
$0.00 |