| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,084 |
12,346 |
$784K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,350 |
3,187 |
$253K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
458 |
443 |
$56K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,631 |
1,252 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
976 |
886 |
$17K |
| 90756 |
|
536 |
472 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
143 |
121 |
$5K |
| 90688 |
|
453 |
424 |
$4K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,353 |
1,038 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
13 |
$1K |
| 90686 |
|
31 |
30 |
$358.30 |
| 90461 |
|
20 |
20 |
$21.48 |
| 90656 |
|
67 |
66 |
$0.00 |
| 90651 |
|
14 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
56 |
46 |
$0.00 |
| 3080F |
|
18 |
16 |
$0.00 |
| 90734 |
|
35 |
33 |
$0.00 |
| 90715 |
|
15 |
14 |
$0.00 |
| 90672 |
|
14 |
14 |
$0.00 |
| 3077F |
|
22 |
19 |
$0.00 |