| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,089 |
1,595 |
$71K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,737 |
1,187 |
$33K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
208 |
191 |
$14K |
| 90832 |
Psychotherapy, 30 minutes with patient |
331 |
238 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
708 |
401 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
67 |
62 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
283 |
232 |
$3K |
| 99384 |
|
28 |
28 |
$2K |
| 82962 |
|
191 |
136 |
$363.21 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
23 |
17 |
$283.03 |
| 92551 |
|
44 |
40 |
$272.91 |
| 86703 |
|
122 |
85 |
$168.41 |
| 85018 |
|
109 |
92 |
$149.31 |
| 99173 |
|
93 |
80 |
$126.00 |
| 81003 |
|
120 |
94 |
$123.51 |
| G0433 |
Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening |
16 |
13 |
$87.84 |
| 94760 |
|
91 |
63 |
$57.22 |
| 90656 |
|
14 |
12 |
$39.54 |
| 90734 |
|
19 |
17 |
$0.00 |
| 90686 |
|
113 |
99 |
$0.00 |
| 99000 |
|
49 |
44 |
$0.00 |