| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,085 |
3,385 |
$145K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,042 |
647 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
288 |
259 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
578 |
506 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,091 |
465 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
173 |
133 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
176 |
137 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
138 |
122 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
799 |
677 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
63 |
55 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
111 |
93 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
32 |
28 |
$1K |
| 96127 |
|
120 |
93 |
$439.15 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
27 |
$302.35 |
| 90651 |
|
79 |
54 |
$289.23 |
| 90620 |
|
17 |
12 |
$185.01 |
| 90734 |
|
54 |
36 |
$162.86 |
| 90686 |
|
249 |
216 |
$147.18 |
| H0033 |
Oral medication administration, direct observation |
22 |
16 |
$30.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
15 |
12 |
$14.52 |
| 90715 |
|
18 |
13 |
$0.02 |
| 90670 |
|
97 |
66 |
$0.00 |
| 90648 |
|
97 |
68 |
$0.00 |
| 90723 |
|
14 |
12 |
$0.00 |