| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
69 |
69 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,388 |
1,477 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,913 |
1,254 |
$1K |
| 29530 |
|
29 |
27 |
$15.70 |
| 36410 |
|
14 |
12 |
$10.92 |
| 81002 |
|
190 |
174 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
36 |
36 |
$0.00 |
| 99354 |
|
13 |
12 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
489 |
414 |
$0.00 |
| 82962 |
|
66 |
64 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
13 |
12 |
$0.00 |
| J1940 |
Injection, furosemide, up to 20 mg |
69 |
68 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
18 |
18 |
$0.00 |
| 90688 |
|
66 |
66 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
94 |
89 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
12 |
$0.00 |