| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,334 |
3,759 |
$139K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,131 |
1,043 |
$25K |
| 99442 |
|
417 |
361 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
220 |
212 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
149 |
148 |
$13K |
| 99443 |
|
313 |
276 |
$12K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
680 |
638 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
201 |
184 |
$8K |
| 99385 |
|
98 |
98 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
384 |
191 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
37 |
37 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
331 |
151 |
$3K |
| J2010 |
Injection, lincomycin hcl, up to 300 mg |
149 |
140 |
$1K |
| 90756 |
|
38 |
37 |
$517.93 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
29 |
$213.13 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
42 |
38 |
$51.51 |
| 90686 |
|
34 |
34 |
$0.00 |
| 90672 |
|
38 |
38 |
$0.00 |