| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,565 |
5,502 |
$661K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,114 |
6,788 |
$541K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
459 |
356 |
$10K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
129 |
53 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
127 |
95 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
137 |
125 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
106 |
81 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
106 |
81 |
$3K |
| 81003 |
|
1,506 |
1,230 |
$3K |
| 90656 |
|
389 |
272 |
$3K |
| 90686 |
|
208 |
206 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
63 |
39 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
245 |
195 |
$2K |
| 99173 |
|
602 |
495 |
$2K |
| 92551 |
|
479 |
395 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
14 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
38 |
26 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
154 |
121 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
43 |
25 |
$955.98 |
| 20611 |
|
20 |
15 |
$842.87 |
| 81025 |
|
325 |
262 |
$624.90 |
| 90698 |
|
94 |
63 |
$368.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
34 |
30 |
$336.00 |
| 90670 |
|
92 |
59 |
$296.00 |
| 87807 |
|
43 |
28 |
$198.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
13 |
12 |
$105.19 |
| 90651 |
|
13 |
13 |
$104.00 |
| 90650 |
|
23 |
13 |
$80.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
17 |
15 |
$0.00 |