| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,365 |
3,773 |
$193K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
306 |
301 |
$21K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,596 |
1,321 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
377 |
351 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
521 |
247 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
78 |
77 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
593 |
538 |
$5K |
| 81025 |
|
596 |
567 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
43 |
43 |
$3K |
| 99384 |
|
27 |
27 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
31 |
30 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
144 |
137 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
110 |
105 |
$1K |
| 90756 |
|
50 |
50 |
$979.97 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
684 |
653 |
$882.65 |
| 81002 |
|
333 |
313 |
$703.26 |
| 92551 |
|
108 |
107 |
$666.11 |
| 99441 |
|
48 |
44 |
$545.52 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
206 |
200 |
$80.82 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
32 |
29 |
$39.33 |
| 99173 |
|
21 |
21 |
$25.85 |
| 85018 |
|
30 |
28 |
$13.24 |
| 90670 |
|
12 |
12 |
$0.00 |
| 90715 |
|
26 |
25 |
$0.00 |
| 90707 |
|
17 |
16 |
$0.00 |
| 90716 |
|
16 |
15 |
$0.00 |