| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,829 |
8,557 |
$123K |
| 99215 |
Prolong outpt/office vis |
4,268 |
3,117 |
$48K |
| 99443 |
|
5,187 |
2,529 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,565 |
2,092 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
876 |
782 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
536 |
320 |
$1K |
| 99350 |
Prolong home eval add 15m |
111 |
104 |
$898.41 |
| 99442 |
|
192 |
160 |
$875.34 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
150 |
130 |
$539.61 |
| 99349 |
|
56 |
44 |
$435.33 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
20 |
18 |
$409.20 |
| 90662 |
|
658 |
536 |
$405.12 |
| G0008 |
Administration of influenza virus vaccine |
659 |
537 |
$79.06 |
| 97124 |
|
27 |
13 |
$40.48 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
271 |
212 |
$17.04 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
226 |
179 |
$7.12 |
| 36415 |
Collection of venous blood by venipuncture |
89 |
55 |
$2.51 |