| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,400 |
8,681 |
$708K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,797 |
3,254 |
$168K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
256 |
248 |
$27K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
105 |
105 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
348 |
341 |
$4K |
| 90686 |
|
284 |
281 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
188 |
169 |
$3K |
| 93000 |
|
179 |
179 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
415 |
408 |
$2K |
| 81000 |
|
740 |
718 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
203 |
199 |
$2K |
| 99441 |
|
42 |
40 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
58 |
51 |
$1K |
| 0031A |
|
25 |
25 |
$860.23 |
| 82948 |
|
339 |
294 |
$760.52 |
| 0012A |
|
12 |
12 |
$380.14 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
21 |
17 |
$279.24 |
| 99173 |
|
13 |
12 |
$9.78 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$0.71 |
| 91303 |
|
20 |
20 |
$0.00 |