| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,970 |
1,490 |
$64K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
680 |
559 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
20 |
12 |
$731.64 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
48 |
41 |
$438.23 |
| 90686 |
|
46 |
37 |
$316.88 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
44 |
37 |
$268.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
52 |
44 |
$266.69 |
| 3008F |
|
325 |
283 |
$150.00 |
| 3078F |
|
265 |
235 |
$120.00 |
| 1159F |
|
297 |
263 |
$110.00 |
| 1160F |
|
297 |
263 |
$110.00 |
| 3074F |
|
206 |
186 |
$40.00 |
| 3075F |
|
12 |
12 |
$0.00 |