| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,197 |
6,369 |
$305K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
752 |
713 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
541 |
511 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
113 |
113 |
$7K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
38 |
12 |
$5K |
| 99402 |
|
179 |
173 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
190 |
185 |
$2K |
| 90686 |
|
79 |
79 |
$1K |
| 90658 |
|
41 |
41 |
$699.03 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$685.43 |
| 95923 |
|
12 |
12 |
$281.27 |
| 99407 |
|
18 |
18 |
$255.18 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
33 |
25 |
$238.09 |
| 93000 |
|
12 |
12 |
$179.78 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
20 |
14 |
$37.02 |