| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,593 |
5,198 |
$854K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,707 |
1,899 |
$272K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
825 |
630 |
$41K |
| 90834 |
Psychotherapy, 45 minutes with patient |
510 |
214 |
$33K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
126 |
119 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
134 |
104 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
100 |
83 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
139 |
85 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
39 |
39 |
$7K |
| 98926 |
|
295 |
179 |
$3K |
| 99173 |
|
18 |
14 |
$2K |
| 90686 |
|
70 |
40 |
$2K |
| 95909 |
|
14 |
12 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
22 |
12 |
$554.15 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
174 |
103 |
$266.42 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
26 |
26 |
$0.00 |