| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,916 |
12,999 |
$694K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,401 |
1,283 |
$95K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,046 |
3,880 |
$57K |
| 99051 |
|
2,293 |
2,155 |
$39K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,003 |
1,250 |
$33K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
476 |
460 |
$33K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,671 |
1,605 |
$31K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,050 |
1,780 |
$24K |
| 90473 |
|
419 |
404 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
54 |
52 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
326 |
244 |
$543.75 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
781 |
551 |
$447.32 |
| 85660 |
|
105 |
82 |
$242.00 |
| J2540 |
Injection, penicillin g potassium, up to 600,000 units |
251 |
224 |
$205.26 |
| 99050 |
|
34 |
20 |
$173.94 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
349 |
220 |
$0.48 |
| 3008F |
|
12,519 |
10,515 |
$0.00 |
| 90686 |
|
2,139 |
2,049 |
$0.00 |
| 90620 |
|
381 |
369 |
$0.00 |
| 90698 |
|
88 |
86 |
$0.00 |
| 90680 |
|
98 |
93 |
$0.00 |
| 90696 |
|
14 |
13 |
$0.00 |
| 90744 |
|
27 |
27 |
$0.00 |
| 90716 |
|
25 |
25 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |
| 90670 |
|
549 |
512 |
$0.00 |
| 90649 |
|
627 |
597 |
$0.00 |
| 90734 |
|
502 |
479 |
$0.00 |
| 90710 |
|
215 |
206 |
$0.00 |
| 90633 |
|
480 |
443 |
$0.00 |
| 90700 |
|
79 |
72 |
$0.00 |
| 90685 |
|
226 |
203 |
$0.00 |
| 90672 |
|
245 |
229 |
$0.00 |
| 90715 |
|
69 |
65 |
$0.00 |
| 90648 |
|
92 |
79 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |