| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,514 |
1,295 |
$57K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,837 |
1,371 |
$40K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,572 |
2,058 |
$28K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
228 |
222 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
42 |
41 |
$3K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
132 |
67 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
29 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
16 |
12 |
$500.40 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
13 |
$410.60 |
| 92551 |
|
45 |
44 |
$330.80 |
| 99173 |
|
45 |
44 |
$80.00 |
| 90656 |
|
28 |
24 |
$70.49 |
| 81003 |
|
42 |
40 |
$35.80 |
| 90686 |
|
163 |
160 |
$0.00 |