| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,042 |
920 |
$58K |
| 99215 |
Prolong outpt/office vis |
340 |
301 |
$31K |
| 99442 |
|
120 |
114 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
55 |
53 |
$2K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
202 |
174 |
$1K |
| 99417 |
Prolong home eval add 15m |
17 |
12 |
$607.60 |
| 90656 |
|
42 |
42 |
$603.45 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
32 |
$483.90 |
| 96127 |
|
94 |
92 |
$223.50 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
88 |
76 |
$51.15 |
| 3008F |
|
607 |
544 |
$0.71 |
| 3078F |
|
410 |
377 |
$0.67 |
| 3074F |
|
441 |
400 |
$0.57 |
| 94760 |
|
183 |
148 |
$0.50 |
| 1160F |
|
490 |
439 |
$0.40 |
| 1159F |
|
219 |
200 |
$0.29 |
| 3075F |
|
129 |
122 |
$0.20 |
| 3079F |
|
202 |
194 |
$0.00 |
| 1125F |
|
557 |
505 |
$0.00 |
| 1126F |
|
215 |
204 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |
| 3044F |
|
15 |
15 |
$0.00 |
| 3077F |
|
42 |
42 |
$0.00 |