| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,030 |
825 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
59 |
48 |
$6K |
| 90837 |
Psychotherapy, 53 minutes with patient |
21 |
12 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
43 |
26 |
$2K |
| 11721 |
|
136 |
115 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
252 |
187 |
$1K |
| W0037 |
|
295 |
295 |
$885.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
68 |
60 |
$749.26 |
| 71046 |
Radiologic examination, chest; 2 views |
72 |
62 |
$571.46 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
32 |
26 |
$256.25 |
| 90686 |
|
60 |
52 |
$212.00 |