| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,314 |
4,023 |
$123K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
967 |
491 |
$2K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
464 |
279 |
$1K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
464 |
279 |
$821.09 |
| 82962 |
|
2,194 |
1,214 |
$610.99 |
| 90662 |
|
109 |
108 |
$398.80 |
| 93000 |
|
142 |
140 |
$352.73 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
711 |
253 |
$155.30 |
| 85018 |
|
2,674 |
1,149 |
$124.33 |
| G0008 |
Administration of influenza virus vaccine |
110 |
109 |
$116.27 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
323 |
214 |
$33.79 |
| J7050 |
Infusion, normal saline solution, 250 cc |
443 |
264 |
$26.61 |
| 36415 |
Collection of venous blood by venipuncture |
128 |
120 |
$4.35 |
| 81002 |
|
12 |
12 |
$0.00 |