| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,916 |
4,758 |
$254K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
839 |
759 |
$54K |
| 99199 |
Unlisted special service, procedure or report |
4,552 |
4,385 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
325 |
262 |
$20K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,061 |
823 |
$10K |
| 80305 |
|
646 |
568 |
$5K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
550 |
450 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
53 |
38 |
$962.73 |
| 90674 |
|
111 |
90 |
$939.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
79 |
56 |
$651.70 |
| 81003 |
|
26 |
25 |
$47.09 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |