| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,224 |
5,848 |
$1.39M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,135 |
1,461 |
$351K |
| 90837 |
Psychotherapy, 53 minutes with patient |
606 |
331 |
$109K |
| 99441 |
|
442 |
399 |
$78K |
| X5622 |
|
161 |
138 |
$41K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
40 |
37 |
$11K |
| 99307 |
|
28 |
27 |
$8K |
| 90834 |
Psychotherapy, 45 minutes with patient |
30 |
13 |
$7K |
| 91322 |
|
18 |
17 |
$2K |
| 90662 |
|
15 |
14 |
$868.98 |
| 90480 |
|
18 |
17 |
$690.24 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
754 |
571 |
$387.80 |
| G0008 |
Administration of influenza virus vaccine |
15 |
14 |
$165.02 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
301 |
231 |
$59.40 |
| 90686 |
|
432 |
335 |
$58.85 |
| 92551 |
|
222 |
168 |
$44.56 |
| 99173 |
|
220 |
167 |
$44.56 |
| 99188 |
|
18 |
12 |
$29.70 |
| 96127 |
|
78 |
64 |
$0.00 |
| 0001A |
|
28 |
28 |
$0.00 |
| 0011A |
|
27 |
25 |
$0.00 |
| 0012A |
|
20 |
13 |
$0.00 |
| 0002A |
|
26 |
26 |
$0.00 |