| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,559 |
7,087 |
$402K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,293 |
4,272 |
$175K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
163 |
154 |
$9K |
| 80305 |
|
1,367 |
1,292 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,266 |
1,133 |
$8K |
| 90686 |
|
344 |
343 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
401 |
396 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
90 |
89 |
$3K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
655 |
630 |
$1K |
| 90658 |
|
68 |
67 |
$1K |
| 99397 |
|
16 |
14 |
$606.42 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$594.28 |
| 93000 |
|
39 |
39 |
$509.32 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$276.41 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
53 |
50 |
$76.67 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
13 |
12 |
$50.34 |
| 82947 |
|
15 |
15 |
$48.19 |
| 36415 |
Collection of venous blood by venipuncture |
29 |
28 |
$47.43 |
| 81002 |
|
42 |
41 |
$18.19 |
| G0008 |
Administration of influenza virus vaccine |
16 |
16 |
$11.50 |
| 99000 |
|
169 |
163 |
$0.00 |