| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,843 |
7,153 |
$1.37M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,994 |
2,393 |
$400K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,614 |
813 |
$331K |
| X5622 |
|
1,310 |
1,062 |
$159K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
526 |
484 |
$125K |
| 90832 |
Psychotherapy, 30 minutes with patient |
423 |
269 |
$66K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
42 |
29 |
$472.29 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
719 |
587 |
$62.18 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
20 |
12 |
$31.71 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
329 |
291 |
$1.21 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,315 |
1,056 |
$0.00 |
| 92551 |
|
411 |
348 |
$0.00 |
| 90686 |
|
230 |
181 |
$0.00 |
| 96127 |
|
14 |
14 |
$0.00 |
| 99173 |
|
149 |
132 |
$0.00 |
| 90682 |
|
29 |
28 |
$0.00 |
| 99188 |
|
239 |
191 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
222 |
170 |
$0.00 |
| 90461 |
|
19 |
16 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
12 |
$0.00 |