| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,575 |
6,267 |
$600K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,365 |
5,108 |
$324K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
960 |
922 |
$68K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
263 |
262 |
$38K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
449 |
441 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
49 |
49 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
70 |
70 |
$6K |
| 99215 |
Prolong outpt/office vis |
56 |
56 |
$6K |
| 90686 |
|
389 |
385 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
28 |
28 |
$4K |
| 80305 |
|
252 |
214 |
$3K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
152 |
143 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$733.22 |
| 90656 |
|
14 |
14 |
$299.70 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18 |
18 |
$279.72 |
| 3078F |
|
132 |
122 |
$0.00 |
| 3074F |
|
222 |
207 |
$0.00 |
| 3079F |
|
72 |
70 |
$0.00 |