| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,083 |
3,454 |
$564K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,060 |
954 |
$111K |
| 90837 |
Psychotherapy, 53 minutes with patient |
40 |
25 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
34 |
30 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
292 |
278 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
15 |
$2K |
| 90686 |
|
98 |
95 |
$151.78 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
28 |
$11.28 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
40 |
39 |
$0.00 |