| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,682 |
4,415 |
$185K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
783 |
690 |
$42K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
651 |
599 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
319 |
266 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
103 |
94 |
$6K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
304 |
290 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
62 |
56 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25 |
24 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
337 |
315 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
77 |
77 |
$941.68 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
39 |
39 |
$838.35 |
| 90756 |
|
37 |
36 |
$751.31 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$638.88 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
39 |
39 |
$478.53 |
| 80305 |
|
85 |
74 |
$461.74 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
43 |
41 |
$303.53 |
| 81002 |
|
135 |
115 |
$289.71 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
315 |
301 |
$132.73 |
| 81025 |
|
14 |
12 |
$88.79 |
| 90686 |
|
50 |
46 |
$44.00 |
| 90734 |
|
41 |
40 |
$22.00 |
| J2315 |
Injection, naltrexone, depot form, 1 mg |
20 |
15 |
$0.00 |
| 90715 |
|
16 |
15 |
$0.00 |