| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,670 |
1,525 |
$191K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12,323 |
8,937 |
$54K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14,696 |
12,921 |
$43K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
219 |
191 |
$21K |
| 99403 |
|
151 |
141 |
$17K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
894 |
833 |
$13K |
| 90715 |
|
3,522 |
3,239 |
$6K |
| 90710 |
|
2,869 |
2,576 |
$4K |
| 90696 |
|
1,487 |
1,345 |
$4K |
| 90723 |
|
335 |
327 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
24 |
$3K |
| 90686 |
|
1,952 |
1,640 |
$3K |
| 99385 |
|
15 |
12 |
$2K |
| 90633 |
|
3,140 |
2,656 |
$2K |
| 90647 |
|
333 |
326 |
$1K |
| 90670 |
|
1,675 |
1,411 |
$1K |
| 90651 |
|
2,235 |
1,977 |
$1K |
| 90474 |
|
446 |
344 |
$1K |
| 90698 |
|
127 |
124 |
$640.55 |
| 90700 |
|
242 |
203 |
$581.50 |
| 90707 |
|
593 |
551 |
$515.50 |
| 90672 |
|
292 |
179 |
$276.10 |
| 90734 |
|
387 |
365 |
$269.50 |
| 90716 |
|
2,998 |
2,473 |
$181.00 |
| 90744 |
|
1,385 |
1,208 |
$164.00 |
| 90681 |
|
120 |
101 |
$125.10 |
| 90713 |
|
1,844 |
1,582 |
$77.05 |
| 90473 |
|
33 |
32 |
$36.30 |
| 90661 |
|
73 |
73 |
$25.01 |
| 90619 |
|
977 |
819 |
$0.00 |
| 90677 |
|
305 |
297 |
$0.00 |
| 90697 |
|
312 |
234 |
$0.00 |
| 90620 |
|
39 |
27 |
$0.00 |
| 90660 |
|
56 |
56 |
$0.00 |
| 90674 |
|
63 |
62 |
$0.00 |
| 90714 |
|
209 |
176 |
$0.00 |