| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,872 |
4,306 |
$372K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,977 |
3,996 |
$189K |
| 99401 |
|
5,131 |
4,275 |
$126K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,976 |
1,495 |
$23K |
| 99215 |
Prolong outpt/office vis |
202 |
167 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
110 |
90 |
$9K |
| 99205 |
Prolong outpt/office vis |
55 |
37 |
$6K |
| 91322 |
|
41 |
39 |
$4K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
25 |
25 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
117 |
63 |
$2K |
| 90686 |
|
114 |
102 |
$2K |
| 90480 |
|
41 |
39 |
$1K |
| 96402 |
|
56 |
49 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$1K |
| 90674 |
|
72 |
54 |
$1K |
| 90838 |
|
16 |
14 |
$795.68 |
| 90836 |
|
34 |
26 |
$540.56 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
51 |
42 |
$86.43 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
39 |
37 |
$0.00 |