| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
90 |
66 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
46 |
34 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
54 |
30 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33 |
29 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
31 |
26 |
$853.72 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
13 |
$374.77 |
| 90686 |
|
166 |
135 |
$297.90 |
| Q3014 |
Telehealth originating site facility fee |
14 |
12 |
$272.28 |
| 99188 |
|
22 |
17 |
$128.90 |
| 90651 |
|
23 |
15 |
$43.03 |
| 90734 |
|
15 |
13 |
$43.03 |