| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,966 |
9,046 |
$936K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,030 |
2,353 |
$203K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,397 |
528 |
$133K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
226 |
161 |
$16K |
| X5622 |
|
185 |
162 |
$15K |
| 96160 |
|
284 |
182 |
$14K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
115 |
113 |
$9K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
240 |
201 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,159 |
942 |
$83.48 |
| 99401 |
|
209 |
157 |
$28.96 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
256 |
204 |
$20.36 |
| 90688 |
|
207 |
206 |
$17.55 |
| 92551 |
|
320 |
249 |
$8.70 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
197 |
153 |
$7.68 |
| 99173 |
|
307 |
239 |
$2.05 |
| 96161 |
|
272 |
171 |
$0.31 |
| 96127 |
|
144 |
132 |
$0.09 |
| 90686 |
|
267 |
201 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
267 |
169 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
27 |
26 |
$0.00 |
| 99188 |
|
33 |
26 |
$0.00 |