| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
662 |
537 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
890 |
530 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
824 |
443 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,166 |
452 |
$5K |
| 94060 |
|
56 |
25 |
$534.88 |
| 94729 |
|
27 |
13 |
$507.53 |
| 94727 |
|
56 |
25 |
$484.85 |
| 94618 |
|
27 |
13 |
$321.34 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
55 |
25 |
$200.80 |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
27 |
13 |
$200.40 |
| 36415 |
Collection of venous blood by venipuncture |
255 |
159 |
$190.95 |
| 94664 |
|
56 |
25 |
$171.39 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
152 |
114 |
$117.80 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
43 |
25 |
$28.01 |
| 81002 |
|
36 |
12 |
$26.60 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
82 |
52 |
$18.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
31 |
15 |
$3.27 |
| 80305 |
|
115 |
100 |
$0.00 |
| 99000 |
|
500 |
362 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
13 |
$0.00 |