| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,006 |
7,975 |
$905K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,958 |
4,570 |
$339K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,771 |
1,732 |
$118K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,271 |
1,235 |
$84K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,228 |
1,213 |
$83K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
586 |
576 |
$40K |
| 92551 |
|
3,458 |
3,334 |
$17K |
| 99173 |
|
3,457 |
3,333 |
$16K |
| 90656 |
|
852 |
830 |
$16K |
| 90700 |
|
800 |
790 |
$16K |
| 90649 |
|
704 |
692 |
$13K |
| 90713 |
|
469 |
462 |
$9K |
| 90648 |
|
348 |
346 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
157 |
154 |
$6K |
| 90670 |
|
277 |
274 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
274 |
248 |
$4K |
| 90655 |
|
117 |
113 |
$2K |
| 90734 |
|
100 |
98 |
$2K |
| 90620 |
|
92 |
91 |
$2K |
| 90680 |
|
66 |
66 |
$1K |
| 90677 |
|
39 |
39 |
$771.81 |
| 90633 |
|
26 |
26 |
$494.75 |
| 90707 |
|
14 |
13 |
$257.27 |
| 90716 |
|
14 |
13 |
$257.27 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
59 |
50 |
$10.39 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
56 |
53 |
$0.36 |