| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,271 |
1,779 |
$59K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,588 |
1,388 |
$38K |
| 99091 |
|
128 |
127 |
$12K |
| 99000 |
|
1,346 |
1,158 |
$8K |
| 99442 |
|
333 |
291 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
161 |
122 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
39 |
37 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
364 |
202 |
$1K |
| 99441 |
|
116 |
101 |
$1K |
| 99421 |
|
218 |
80 |
$447.00 |
| 90688 |
|
18 |
17 |
$146.42 |
| 0012A |
|
12 |
12 |
$120.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$62.72 |
| 99443 |
|
14 |
13 |
$42.99 |
| 90686 |
|
20 |
18 |
$35.86 |
| 81002 |
|
15 |
12 |
$25.26 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
40 |
24 |
$8.32 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
66 |
45 |
$3.75 |
| 91301 |
|
37 |
36 |
$0.01 |
| 99490 |
Ccm add 20min |
14 |
14 |
$0.00 |
| 99072 |
|
56 |
47 |
$0.00 |
| 82947 |
|
31 |
24 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,011 |
918 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
18 |
16 |
$0.00 |