| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,520 |
3,941 |
$408K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,512 |
1,425 |
$167K |
| 96127 |
|
7,041 |
5,924 |
$113K |
| J2315 |
Injection, naltrexone, depot form, 1 mg |
53 |
42 |
$67K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,259 |
1,154 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
258 |
217 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
172 |
148 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
826 |
658 |
$11K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
973 |
910 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
106 |
105 |
$10K |
| 99383 |
|
44 |
40 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
296 |
256 |
$3K |
| 99205 |
Prolong outpt/office vis |
15 |
15 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
575 |
520 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
20 |
19 |
$2K |
| 99384 |
|
18 |
12 |
$1K |
| 99408 |
|
53 |
39 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
22 |
14 |
$911.88 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
26 |
$892.94 |
| 80305 |
|
70 |
59 |
$793.80 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$755.71 |
| 90837 |
Psychotherapy, 53 minutes with patient |
20 |
15 |
$403.53 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
220 |
201 |
$248.04 |
| 99385 |
|
12 |
12 |
$124.37 |
| H0049 |
Alcohol and/or drug screening |
22 |
14 |
$0.00 |
| 90838 |
|
15 |
12 |
$0.00 |