| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,543 |
10,291 |
$814K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,815 |
1,692 |
$200K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,715 |
1,849 |
$108K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
825 |
775 |
$70K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,478 |
854 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,798 |
1,655 |
$26K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,872 |
1,467 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
156 |
147 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
81 |
80 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
257 |
231 |
$6K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
49 |
38 |
$4K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
37 |
37 |
$3K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
50 |
50 |
$3K |
| 99460 |
|
15 |
14 |
$1K |
| 0012A |
|
18 |
17 |
$635.99 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
69 |
59 |
$615.10 |
| 0011A |
|
17 |
17 |
$398.65 |
| 90686 |
|
155 |
130 |
$266.43 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
47 |
43 |
$18.05 |
| 90677 |
|
73 |
72 |
$0.66 |
| 90670 |
|
240 |
218 |
$0.02 |
| 90723 |
|
181 |
170 |
$0.00 |
| 90647 |
|
152 |
142 |
$0.00 |