| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,352 |
1,905 |
$147K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,128 |
1,803 |
$142K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,712 |
1,967 |
$84K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
117 |
116 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
83 |
82 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
24 |
24 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
369 |
360 |
$6K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
46 |
16 |
$4K |
| 92552 |
|
236 |
232 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
861 |
374 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
28 |
28 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
388 |
384 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
57 |
56 |
$1K |
| 90461 |
|
15 |
15 |
$289.08 |
| 97802 |
|
465 |
439 |
$195.04 |
| 81002 |
|
107 |
100 |
$165.90 |
| S9451 |
Exercise classes, non-physician provider, per session |
471 |
445 |
$97.45 |
| 93000 |
|
62 |
62 |
$91.77 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$20.00 |
| 90686 |
|
25 |
25 |
$10.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
99 |
38 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
192 |
179 |
$0.00 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
193 |
182 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,039 |
906 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
33 |
12 |
$0.00 |
| 99173 |
|
288 |
274 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
41 |
40 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$0.00 |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
62 |
58 |
$0.00 |