| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,394 |
1,837 |
$418K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
552 |
448 |
$108K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
174 |
131 |
$45K |
| 90832 |
Psychotherapy, 30 minutes with patient |
153 |
88 |
$36K |
| 90834 |
Psychotherapy, 45 minutes with patient |
100 |
65 |
$26K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
127 |
111 |
$0.00 |
| 81025 |
|
93 |
76 |
$0.00 |
| 99173 |
|
59 |
50 |
$0.00 |
| 90734 |
|
36 |
34 |
$0.00 |
| 97803 |
|
44 |
27 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
13 |
$0.00 |
| 92551 |
|
56 |
47 |
$0.00 |
| 36416 |
|
55 |
38 |
$0.00 |
| 90620 |
|
119 |
104 |
$0.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
83 |
60 |
$0.00 |
| 96127 |
|
60 |
50 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
474 |
416 |
$0.00 |
| 85018 |
|
29 |
25 |
$0.00 |
| 90686 |
|
130 |
121 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
128 |
100 |
$0.00 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
24 |
17 |
$0.00 |
| 97802 |
|
21 |
15 |
$0.00 |
| 86701 |
|
40 |
25 |
$0.00 |
| 99384 |
|
20 |
13 |
$0.00 |