| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,327 |
1,942 |
$84K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
30 |
30 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
46 |
46 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
34 |
34 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
107 |
104 |
$1K |
| 99384 |
|
12 |
12 |
$1K |
| 99215 |
Prolong outpt/office vis |
15 |
15 |
$1K |
| 99385 |
|
14 |
14 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
106 |
101 |
$784.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
36 |
36 |
$454.72 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$317.12 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
21 |
21 |
$164.64 |
| S8301 |
Infection control supplies, not otherwise specified |
15 |
15 |
$96.72 |
| 90734 |
|
24 |
24 |
$45.00 |
| 97802 |
|
20 |
19 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
15 |
15 |
$0.00 |