| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,420 |
1,207 |
$0.00 |
| 99000 |
|
86 |
71 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
27 |
$0.00 |
| 96151 |
|
12 |
12 |
$0.00 |
| 92552 |
|
157 |
157 |
$0.00 |
| 99173 |
|
138 |
138 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
69 |
67 |
$0.00 |
| 59425 |
|
485 |
310 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
40 |
40 |
$0.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
416 |
210 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
30 |
30 |
$0.00 |
| J2010 |
Injection, lincomycin hcl, up to 300 mg |
12 |
12 |
$0.00 |
| 99401 |
|
12 |
12 |
$0.00 |
| 97803 |
|
12 |
12 |
$0.00 |