| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,222 |
1,999 |
$160K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,842 |
1,677 |
$91K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,532 |
1,450 |
$56K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
109 |
108 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
113 |
108 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
87 |
84 |
$8K |
| 81002 |
|
994 |
947 |
$3K |
| 90461 |
|
445 |
410 |
$2K |
| 99173 |
|
755 |
725 |
$2K |
| 96127 |
|
275 |
257 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
150 |
141 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
29 |
25 |
$640.88 |
| 99000 |
|
40 |
40 |
$24.00 |
| 90686 |
|
269 |
211 |
$15.74 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
16 |
13 |
$6.38 |
| 90648 |
|
12 |
12 |
$0.00 |
| 91300 |
|
18 |
14 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 94760 |
|
24 |
24 |
$0.00 |
| 91307 |
|
33 |
30 |
$0.00 |
| 90674 |
|
33 |
33 |
$0.00 |