| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,547 |
2,307 |
$105K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
293 |
266 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
386 |
359 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
35 |
34 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
91 |
91 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
273 |
257 |
$934.71 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
13 |
$709.20 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
44 |
19 |
$414.40 |
| 90688 |
|
39 |
39 |
$224.76 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$223.52 |
| 36415 |
Collection of venous blood by venipuncture |
33 |
32 |
$68.44 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90461 |
|
31 |
31 |
$0.00 |