| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,614 |
7,084 |
$334K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,987 |
5,724 |
$226K |
| 99336 |
|
137 |
133 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
184 |
183 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
216 |
195 |
$3K |
| 0013A |
|
35 |
35 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$1K |
| 90686 |
|
74 |
74 |
$896.38 |
| 0011A |
|
17 |
17 |
$680.00 |
| 0012A |
|
15 |
15 |
$600.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$271.86 |
| 20552 |
|
13 |
12 |
$266.75 |
| 96127 |
|
77 |
59 |
$252.05 |
| 71046 |
Radiologic examination, chest; 2 views |
25 |
24 |
$156.48 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
15 |
14 |
$47.08 |
| 91301 |
|
69 |
69 |
$0.00 |