| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,673 |
1,204 |
$125K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
274 |
251 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
161 |
140 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
152 |
133 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
243 |
203 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
165 |
118 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
699 |
128 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
38 |
38 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
167 |
124 |
$2K |
| 90670 |
|
107 |
93 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
14 |
$1K |
| 90651 |
|
16 |
14 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| 90648 |
|
101 |
85 |
$965.80 |
| 85018 |
|
377 |
322 |
$860.10 |
| 81002 |
|
207 |
174 |
$532.54 |
| 87807 |
|
81 |
42 |
$531.20 |
| 90723 |
|
37 |
27 |
$310.75 |
| 99173 |
|
119 |
115 |
$288.79 |
| 83655 |
|
18 |
18 |
$254.26 |
| 36415 |
Collection of venous blood by venipuncture |
120 |
73 |
$221.11 |
| 90633 |
|
16 |
16 |
$202.05 |
| 90686 |
|
13 |
13 |
$155.82 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
333 |
269 |
$141.15 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
152 |
139 |
$115.50 |
| 36416 |
|
284 |
268 |
$38.05 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
65 |
50 |
$13.57 |
| 99051 |
|
21 |
13 |
$7.50 |