| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,083 |
1,857 |
$61K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,487 |
1,462 |
$18K |
| 90746 |
|
165 |
163 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
550 |
412 |
$7K |
| 90686 |
|
721 |
707 |
$7K |
| 90632 |
|
94 |
94 |
$4K |
| 0001A |
|
176 |
127 |
$4K |
| 0002A |
|
142 |
102 |
$3K |
| 86580 |
|
271 |
245 |
$2K |
| 90715 |
|
281 |
279 |
$2K |
| 81025 |
|
147 |
143 |
$1K |
| 0071A |
|
33 |
31 |
$1K |
| 90734 |
|
467 |
462 |
$1K |
| 90716 |
|
41 |
41 |
$1K |
| 0072A |
|
29 |
25 |
$1K |
| 0003A |
|
32 |
31 |
$800.00 |
| 90707 |
|
31 |
29 |
$755.67 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$569.70 |
| 0054A |
|
14 |
14 |
$560.00 |
| 90480 |
|
13 |
13 |
$299.85 |
| 90633 |
|
30 |
30 |
$132.60 |
| 90651 |
|
59 |
59 |
$115.85 |
| 91307 |
|
76 |
62 |
$0.00 |
| 91305 |
|
16 |
16 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
15 |
15 |
$0.00 |
| 91300 |
|
293 |
264 |
$0.00 |