| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,660 |
12,070 |
$1.98M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,163 |
2,599 |
$335K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,916 |
2,497 |
$256K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,603 |
1,423 |
$162K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
122 |
115 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
126 |
124 |
$15K |
| 99173 |
|
66 |
65 |
$10K |
| 90686 |
|
256 |
208 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
44 |
39 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$3K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
132 |
126 |
$137.71 |
| 90656 |
|
28 |
20 |
$90.58 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
170 |
169 |
$4.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
237 |
175 |
$2.03 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
119 |
113 |
$0.50 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
15 |
15 |
$0.24 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
140 |
115 |
$0.12 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
33 |
32 |
$0.00 |