| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
610 |
503 |
$33K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
143 |
135 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
266 |
225 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41 |
38 |
$2K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
14 |
12 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
15 |
15 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
138 |
117 |
$679.20 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
32 |
30 |
$470.94 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
109 |
91 |
$65.53 |
| 85018 |
|
13 |
13 |
$39.78 |