| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,247 |
7,694 |
$1.55M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,777 |
1,507 |
$315K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,011 |
1,788 |
$285K |
| 90837 |
Psychotherapy, 53 minutes with patient |
561 |
319 |
$105K |
| 90832 |
Psychotherapy, 30 minutes with patient |
244 |
159 |
$43K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
137 |
136 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
125 |
125 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
115 |
114 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
109 |
90 |
$20K |
| 81002 |
|
52 |
37 |
$805.77 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
534 |
501 |
$442.79 |
| 90461 |
|
148 |
129 |
$0.00 |
| 90670 |
|
46 |
38 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
19 |
15 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 90686 |
|
162 |
149 |
$0.00 |
| 90651 |
|
17 |
17 |
$0.00 |
| 90647 |
|
12 |
12 |
$0.00 |
| 90723 |
|
16 |
13 |
$0.00 |
| 90680 |
|
16 |
13 |
$0.00 |