| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,785 |
1,508 |
$90K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
790 |
745 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
176 |
159 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
85 |
83 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
100 |
95 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
209 |
196 |
$6K |
| 90686 |
|
413 |
391 |
$4K |
| 92551 |
|
320 |
293 |
$4K |
| 99173 |
|
291 |
269 |
$3K |
| 90670 |
|
15 |
14 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
113 |
98 |
$1K |
| 90698 |
|
13 |
12 |
$999.51 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$996.47 |
| 90688 |
|
32 |
28 |
$577.96 |
| 90685 |
|
21 |
21 |
$301.47 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
13 |
12 |
$213.52 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
14 |
12 |
$140.54 |
| G0008 |
Administration of influenza virus vaccine |
14 |
13 |
$0.00 |