| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,391 |
1,848 |
$123K |
| 99402 |
|
325 |
303 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
335 |
328 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
221 |
218 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
198 |
182 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
152 |
145 |
$12K |
| 90837 |
Psychotherapy, 53 minutes with patient |
135 |
83 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
49 |
49 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
386 |
236 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
386 |
384 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
41 |
25 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
54 |
51 |
$766.80 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
20 |
$740.28 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
13 |
$196.80 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
12 |
$147.00 |
| 90670 |
|
27 |
26 |
$0.00 |
| 90723 |
|
14 |
14 |
$0.00 |
| 90647 |
|
13 |
12 |
$0.00 |