| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,679 |
7,614 |
$677K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
165 |
157 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
213 |
183 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
52 |
42 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
66 |
52 |
$1K |
| 90651 |
|
12 |
12 |
$833.24 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
25 |
$801.01 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
41 |
41 |
$767.52 |
| 90686 |
|
30 |
28 |
$228.55 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$209.20 |
| 90656 |
|
38 |
34 |
$208.36 |
| 90715 |
|
14 |
12 |
$183.26 |
| 36415 |
Collection of venous blood by venipuncture |
42 |
39 |
$177.83 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
18 |
14 |
$112.58 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
18 |
14 |
$5.54 |
| 91301 |
|
12 |
12 |
$0.00 |