| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,474 |
5,047 |
$128K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,304 |
1,272 |
$52K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,490 |
2,482 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
609 |
609 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
598 |
598 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
565 |
560 |
$24K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,195 |
1,194 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
281 |
279 |
$13K |
| 99243 |
|
41 |
41 |
$4K |
| 20610 |
|
127 |
93 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
145 |
116 |
$889.20 |
| 90688 |
|
46 |
46 |
$614.20 |
| 99381 |
|
12 |
12 |
$525.92 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
287 |
280 |
$445.13 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$404.10 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
84 |
84 |
$188.06 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
57 |
55 |
$172.87 |
| 90686 |
|
12 |
12 |
$155.37 |
| 3008F |
|
13 |
13 |
$120.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
14 |
$44.78 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
12 |
12 |
$0.00 |