| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,388 |
6,880 |
$213K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
281 |
263 |
$20K |
| 59425 |
|
73 |
58 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
259 |
254 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
685 |
547 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
690 |
685 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
95 |
92 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
137 |
137 |
$6K |
| 90832 |
Psychotherapy, 30 minutes with patient |
108 |
102 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
188 |
181 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
123 |
123 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
59 |
59 |
$4K |
| 90686 |
|
252 |
252 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
42 |
42 |
$2K |
| 90461 |
|
84 |
81 |
$1K |
| 99441 |
|
197 |
179 |
$938.10 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
54 |
54 |
$843.96 |
| 81025 |
|
155 |
154 |
$629.95 |
| 3008F |
|
1,307 |
1,246 |
$380.00 |
| 81002 |
|
1,143 |
838 |
$378.74 |
| 92551 |
|
86 |
86 |
$283.13 |
| 99173 |
|
129 |
129 |
$198.30 |
| 92552 |
|
13 |
13 |
$88.52 |
| 99442 |
|
14 |
14 |
$42.11 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |
| 3074F |
|
126 |
121 |
$0.00 |
| 3079F |
|
83 |
79 |
$0.00 |
| 3080F |
|
12 |
12 |
$0.00 |
| 3077F |
|
38 |
38 |
$0.00 |
| 3078F |
|
57 |
54 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |