| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
58,321 |
36,778 |
$346K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,371 |
1,905 |
$160K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
929 |
714 |
$51K |
| 99401 |
|
735 |
603 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
142 |
113 |
$2K |
| 99408 |
|
15 |
13 |
$395.12 |
| 96127 |
|
102 |
82 |
$316.15 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
14 |
$247.68 |
| 90686 |
|
44 |
34 |
$211.60 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
13 |
12 |
$2.88 |
| 3078F |
|
46 |
39 |
$0.00 |
| 1100F |
|
87 |
64 |
$0.00 |
| 3008F |
|
1,007 |
732 |
$0.00 |
| 3074F |
|
108 |
97 |
$0.00 |
| 3044F |
|
63 |
56 |
$0.00 |