| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99423 |
|
1,358 |
381 |
$76K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,160 |
1,837 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
938 |
898 |
$21K |
| 99442 |
|
340 |
316 |
$4K |
| 76881 |
|
109 |
90 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
886 |
797 |
$2K |
| 99454 |
|
561 |
561 |
$2K |
| 99457 |
|
628 |
560 |
$1K |
| 99458 |
|
594 |
560 |
$847.13 |
| 99091 |
|
40 |
40 |
$847.12 |
| 96132 |
|
16 |
16 |
$567.46 |
| 95924 |
|
43 |
43 |
$559.45 |
| 76942 |
|
61 |
51 |
$366.96 |
| 95923 |
|
12 |
12 |
$182.04 |
| 20610 |
|
46 |
36 |
$139.07 |
| 93923 |
|
12 |
12 |
$62.53 |
| 96138 |
|
16 |
16 |
$55.28 |
| 96139 |
|
16 |
16 |
$20.96 |
| 71045 |
Radiologic examination, chest; single view |
13 |
13 |
$20.05 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
357 |
313 |
$7.88 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
133 |
117 |
$6.36 |
| 93000 |
|
13 |
13 |
$0.33 |
| 93040 |
|
68 |
68 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,303 |
1,248 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
32 |
32 |
$0.00 |
| 93922 |
|
43 |
43 |
$0.00 |
| 90688 |
|
17 |
17 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
15 |
15 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
19 |
19 |
$0.00 |
| 95816 |
|
16 |
16 |
$0.00 |
| 92547 |
|
13 |
13 |
$0.00 |
| 92540 |
|
13 |
13 |
$0.00 |
| 92546 |
|
13 |
13 |
$0.00 |
| 95957 |
|
16 |
16 |
$0.00 |
| 95930 |
|
16 |
16 |
$0.00 |
| 93880 |
|
24 |
24 |
$0.00 |
| 92585 |
|
16 |
16 |
$0.00 |