| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,115 |
7,331 |
$1.53M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,032 |
806 |
$170K |
| X5622 |
|
386 |
338 |
$109K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
155 |
144 |
$53K |
| 90837 |
Psychotherapy, 53 minutes with patient |
212 |
103 |
$39K |
| 90662 |
|
140 |
140 |
$9K |
| 91320 |
|
72 |
64 |
$9K |
| 99307 |
|
12 |
12 |
$4K |
| G0008 |
Administration of influenza virus vaccine |
167 |
167 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
70 |
68 |
$3K |
| 90480 |
|
72 |
64 |
$3K |
| 0124A |
|
21 |
15 |
$356.64 |
| 90686 |
|
740 |
595 |
$250.64 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,318 |
1,007 |
$113.95 |
| 0002A |
|
125 |
120 |
$102.26 |
| 0001A |
|
181 |
129 |
$96.73 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
644 |
417 |
$82.80 |
| 91300 |
|
420 |
302 |
$0.02 |
| 96127 |
|
119 |
110 |
$0.00 |
| 90656 |
|
58 |
35 |
$0.00 |
| 99173 |
|
776 |
504 |
$0.00 |
| 92552 |
|
736 |
490 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
75 |
52 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
32 |
24 |
$0.00 |
| 91312 |
|
17 |
14 |
$0.00 |