| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
179 |
149 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
52 |
49 |
$4K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
185 |
83 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
27 |
25 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
81 |
74 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
16 |
$368.64 |
| 90832 |
Psychotherapy, 30 minutes with patient |
15 |
12 |
$266.88 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
13 |
$218.22 |
| 81002 |
|
105 |
97 |
$159.75 |
| 81025 |
|
28 |
27 |
$100.90 |
| 90686 |
|
40 |
36 |
$13.10 |
| 90651 |
|
14 |
14 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 96160 |
|
61 |
51 |
$0.00 |