| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,848 |
10,122 |
$1.75M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17,906 |
5,866 |
$1.41M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,128 |
6,600 |
$997K |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,055 |
1,756 |
$568K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
555 |
546 |
$80K |
| 90834 |
Psychotherapy, 45 minutes with patient |
245 |
112 |
$24K |
| 36415 |
Collection of venous blood by venipuncture |
1,250 |
1,088 |
$21K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,843 |
1,141 |
$21K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
154 |
79 |
$15K |
| 90791 |
Psychiatric diagnostic evaluation |
104 |
67 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
37 |
15 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
323 |
318 |
$3K |
| 90686 |
|
92 |
92 |
$1K |
| 0012A |
|
22 |
22 |
$882.36 |
| 90656 |
|
42 |
41 |
$331.71 |
| 0011A |
|
16 |
16 |
$293.96 |
| J1380 |
Injection, estradiol valerate, up to 10 mg |
85 |
42 |
$37.89 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$1.51 |
| J1071 |
Injection, testosterone cypionate, 1 mg |
407 |
220 |
$0.00 |