| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,329 |
2,423 |
$144K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,693 |
2,005 |
$87K |
| 90834 |
Psychotherapy, 45 minutes with patient |
678 |
180 |
$7K |
| 90837 |
Psychotherapy, 53 minutes with patient |
277 |
71 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
42 |
40 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
204 |
183 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
203 |
118 |
$2K |
| 99215 |
Prolong outpt/office vis |
23 |
23 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$787.41 |
| 99000 |
|
330 |
272 |
$602.27 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
89 |
47 |
$464.43 |
| 96127 |
|
152 |
85 |
$420.53 |
| 0004A |
|
35 |
15 |
$271.63 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
171 |
25 |
$154.39 |
| 92551 |
|
12 |
12 |
$95.64 |
| 90686 |
|
28 |
27 |
$56.08 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
18 |
16 |
$0.00 |
| 90648 |
|
17 |
15 |
$0.00 |
| 99051 |
|
14 |
12 |
$0.00 |