| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,026 |
4,689 |
$294K |
| 99215 |
Prolong outpt/office vis |
1,955 |
1,833 |
$91K |
| 76881 |
|
2,690 |
1,344 |
$57K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
1,225 |
1,103 |
$45K |
| 98960 |
|
645 |
594 |
$24K |
| 20611 |
|
435 |
381 |
$13K |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
289 |
277 |
$9K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
163 |
163 |
$5K |
| G0008 |
Administration of influenza virus vaccine |
135 |
108 |
$4K |
| 99205 |
Prolong outpt/office vis |
14 |
13 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
129 |
124 |
$3K |
| 76882 |
|
102 |
51 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
130 |
128 |
$975.63 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23 |
12 |
$403.42 |
| 90480 |
|
12 |
12 |
$368.29 |
| 85651 |
|
105 |
102 |
$316.62 |
| 84443 |
Thyroid stimulating hormone (TSH) |
17 |
17 |
$280.50 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$210.12 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
29 |
29 |
$179.31 |
| 90694 |
|
55 |
55 |
$0.00 |
| 90674 |
|
31 |
12 |
$0.00 |