| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
524 |
405 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
313 |
236 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
162 |
115 |
$2K |
| 81000 |
|
304 |
219 |
$639.85 |
| 93000 |
|
42 |
31 |
$450.01 |
| 82962 |
|
165 |
98 |
$206.77 |
| 90688 |
|
15 |
15 |
$171.18 |
| 36415 |
Collection of venous blood by venipuncture |
30 |
30 |
$44.06 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
19 |
12 |
$22.24 |
| 3008F |
|
143 |
114 |
$0.00 |
| 3074F |
|
32 |
26 |
$0.00 |
| 3078F |
|
17 |
12 |
$0.00 |
| 4004F |
|
15 |
12 |
$0.00 |
| 1160F |
|
13 |
12 |
$0.00 |
| 1159F |
|
13 |
12 |
$0.00 |