| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,165 |
6,790 |
$487K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
387 |
378 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
324 |
318 |
$22K |
| 99173 |
|
1,112 |
1,062 |
$5K |
| 92551 |
|
1,084 |
1,035 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
55 |
53 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
233 |
106 |
$2K |
| 90686 |
|
61 |
55 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
126 |
71 |
$867.28 |
| 90674 |
|
45 |
44 |
$839.71 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
14 |
$615.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
20 |
18 |
$43.67 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
13 |
12 |
$0.00 |