| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,746 |
8,269 |
$575K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
377 |
330 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
89 |
89 |
$7K |
| 20610 |
|
45 |
43 |
$2K |
| 99406 |
|
256 |
246 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
25 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
48 |
48 |
$1K |
| 90686 |
|
28 |
28 |
$470.04 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
16 |
16 |
$55.44 |