| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,471 |
15,580 |
$4.27M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,853 |
5,523 |
$1.15M |
| X5622 |
|
2,201 |
1,955 |
$451K |
| 90837 |
Psychotherapy, 53 minutes with patient |
248 |
84 |
$50K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
375 |
298 |
$40K |
| 36415 |
Collection of venous blood by venipuncture |
5,697 |
3,995 |
$314.62 |
| 90686 |
|
743 |
479 |
$267.25 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
2,449 |
1,411 |
$120.18 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
587 |
425 |
$106.08 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
149 |
116 |
$80.51 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,038 |
716 |
$23.94 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
747 |
354 |
$22.44 |
| 90656 |
|
48 |
28 |
$14.30 |
| 90461 |
|
562 |
437 |
$8.98 |
| 92551 |
|
508 |
301 |
$4.11 |
| 99173 |
|
518 |
309 |
$1.00 |
| 99188 |
|
312 |
163 |
$0.02 |
| 90681 |
|
12 |
12 |
$0.00 |
| 90670 |
|
110 |
110 |
$0.00 |
| 0002A |
|
47 |
47 |
$0.00 |
| 0071A |
|
52 |
52 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
162 |
153 |
$0.00 |
| 91300 |
|
396 |
373 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
90 |
70 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
25 |
24 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
15 |
15 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$0.00 |
| 0004A |
|
41 |
41 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
15 |
$0.00 |
| 91307 |
|
103 |
94 |
$0.00 |
| 85018 |
|
37 |
28 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
100 |
89 |
$0.00 |
| 90723 |
|
58 |
58 |
$0.00 |
| 0001A |
|
181 |
181 |
$0.00 |
| 96127 |
|
183 |
95 |
$0.00 |
| 0072A |
|
29 |
29 |
$0.00 |
| 90647 |
|
58 |
58 |
$0.00 |
| 36416 |
|
14 |
14 |
$0.00 |