| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,346 |
1,964 |
$189K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,446 |
2,096 |
$140K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
460 |
325 |
$45K |
| 90791 |
Psychiatric diagnostic evaluation |
229 |
221 |
$24K |
| 90832 |
Psychotherapy, 30 minutes with patient |
246 |
208 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
139 |
129 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
648 |
580 |
$9K |
| 90686 |
|
341 |
327 |
$5K |
| 90750 |
|
41 |
41 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
45 |
44 |
$4K |
| 99215 |
Prolong outpt/office vis |
21 |
16 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
19 |
13 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
25 |
23 |
$2K |
| 99406 |
|
145 |
99 |
$1K |
| 96127 |
|
338 |
259 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
37 |
25 |
$871.15 |
| 90715 |
|
18 |
18 |
$796.32 |
| 90714 |
|
45 |
44 |
$742.98 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
58 |
58 |
$392.97 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$316.22 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
12 |
$217.14 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
14 |
$44.66 |
| 81003 |
|
18 |
16 |
$2.23 |