| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,536 |
13,355 |
$740K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,986 |
11,021 |
$416K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,313 |
809 |
$58K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
353 |
349 |
$16K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
296 |
291 |
$15K |
| 92015 |
Determination of refractive state |
1,151 |
1,133 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
386 |
377 |
$10K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
95 |
89 |
$6K |
| 92060 |
|
208 |
183 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
74 |
72 |
$4K |
| X5622 |
|
31 |
28 |
$4K |
| 92551 |
|
281 |
272 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
149 |
145 |
$2K |
| 90461 |
|
55 |
49 |
$1K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
398 |
358 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
16 |
$903.38 |
| 96127 |
|
218 |
214 |
$902.51 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
15 |
$860.82 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$684.99 |
| 90832 |
Psychotherapy, 30 minutes with patient |
12 |
12 |
$493.04 |
| 99173 |
|
169 |
169 |
$318.34 |
| 90686 |
|
372 |
363 |
$24.29 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$0.00 |