| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,006 |
4,488 |
$264K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,202 |
2,879 |
$112K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
550 |
532 |
$45K |
| 99215 |
Prolong outpt/office vis |
376 |
345 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
286 |
273 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
661 |
618 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
490 |
426 |
$8K |
| 99205 |
Prolong outpt/office vis |
43 |
43 |
$5K |
| 99385 |
|
64 |
61 |
$5K |
| 99386 |
|
47 |
46 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
18 |
16 |
$894.48 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$522.48 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
96 |
92 |
$447.23 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21 |
19 |
$166.23 |
| 92551 |
|
15 |
15 |
$134.10 |
| 99441 |
|
15 |
14 |
$103.56 |
| 99000 |
|
23 |
16 |
$37.65 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
18 |
18 |
$35.60 |
| 99173 |
|
15 |
15 |
$35.24 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
17 |
16 |
$34.16 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
61 |
57 |
$17.53 |
| 99072 |
|
184 |
153 |
$0.00 |
| 99406 |
|
19 |
14 |
$0.00 |
| 99407 |
|
25 |
12 |
$0.00 |