| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
954 |
620 |
$43K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,702 |
1,626 |
$24K |
| 90715 |
|
1,152 |
1,106 |
$17K |
| 90713 |
|
1,039 |
994 |
$13K |
| 90686 |
|
1,081 |
1,047 |
$13K |
| 90651 |
|
716 |
702 |
$12K |
| 90716 |
|
570 |
555 |
$11K |
| 90633 |
|
943 |
916 |
$11K |
| 90739 |
|
88 |
85 |
$9K |
| 90619 |
|
553 |
546 |
$7K |
| 90744 |
|
589 |
568 |
$7K |
| 90734 |
|
177 |
176 |
$3K |
| 90714 |
|
155 |
145 |
$2K |
| 91322 |
|
26 |
26 |
$2K |
| 99000 |
|
998 |
883 |
$2K |
| 91320 |
|
14 |
14 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
621 |
560 |
$1K |
| 90707 |
|
90 |
81 |
$1K |
| 90656 |
|
77 |
77 |
$1K |
| 90480 |
|
31 |
27 |
$997.92 |
| 96160 |
|
346 |
301 |
$961.73 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
164 |
154 |
$931.41 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
194 |
189 |
$709.34 |
| 90746 |
|
14 |
14 |
$696.36 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
30 |
25 |
$429.07 |
| 90710 |
|
38 |
38 |
$428.47 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
109 |
105 |
$263.43 |
| 90700 |
|
16 |
13 |
$143.34 |
| 87210 |
|
26 |
17 |
$127.50 |