| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,932 |
5,560 |
$314K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,026 |
1,913 |
$69K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
48 |
47 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
35 |
35 |
$2K |
| 0124A |
|
17 |
15 |
$567.64 |
| G0008 |
Administration of influenza virus vaccine |
53 |
50 |
$484.00 |
| 99173 |
|
75 |
75 |
$476.30 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
44 |
41 |
$440.00 |
| 92551 |
|
42 |
42 |
$369.60 |
| 90682 |
|
119 |
67 |
$170.00 |
| 83655 |
|
12 |
12 |
$121.00 |
| 90686 |
|
12 |
12 |
$121.00 |
| 90674 |
|
61 |
46 |
$106.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
43 |
38 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |