| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,292 |
7,524 |
$381K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,702 |
2,551 |
$155K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,071 |
1,046 |
$23K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
207 |
206 |
$21K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,118 |
1,028 |
$15K |
| 90686 |
|
784 |
766 |
$13K |
| 0124A |
|
127 |
127 |
$8K |
| 90662 |
|
250 |
219 |
$2K |
| 90656 |
|
68 |
67 |
$2K |
| 90682 |
|
32 |
32 |
$2K |
| 0004A |
|
37 |
37 |
$2K |
| 0011A |
|
32 |
31 |
$1K |
| 99397 |
|
12 |
12 |
$1K |
| 0003A |
|
22 |
22 |
$1K |
| 0001A |
|
14 |
14 |
$953.32 |
| 91320 |
|
14 |
14 |
$917.70 |
| 99441 |
|
17 |
13 |
$643.37 |
| 96127 |
|
116 |
113 |
$508.02 |
| 0012A |
|
13 |
13 |
$480.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
86 |
83 |
$433.68 |
| 90480 |
|
14 |
14 |
$283.99 |
| G0008 |
Administration of influenza virus vaccine |
272 |
240 |
$190.08 |
| 93000 |
|
13 |
12 |
$187.69 |
| 99072 |
|
211 |
180 |
$0.00 |
| 91312 |
|
108 |
107 |
$0.00 |
| 1170F |
|
57 |
44 |
$0.00 |
| 3014F |
|
13 |
13 |
$0.00 |
| 3017F |
|
14 |
13 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |