| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,462 |
1,357 |
$110K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
847 |
804 |
$87K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
107 |
106 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
752 |
691 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
232 |
229 |
$5K |
| 36416 |
|
666 |
658 |
$4K |
| 90837 |
Psychotherapy, 53 minutes with patient |
39 |
26 |
$4K |
| 99188 |
|
229 |
223 |
$2K |
| 90686 |
|
81 |
80 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
60 |
59 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
12 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
14 |
$1K |
| 85018 |
|
667 |
657 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
12 |
12 |
$1K |
| 90656 |
|
97 |
97 |
$728.23 |
| 99499 |
|
25 |
25 |
$589.20 |
| 90480 |
|
20 |
20 |
$402.80 |
| 90677 |
|
12 |
12 |
$236.28 |
| 96380 |
|
13 |
13 |
$172.12 |
| 96127 |
|
15 |
12 |
$90.02 |
| 99173 |
|
52 |
52 |
$89.81 |
| 99174 |
|
26 |
25 |
$77.37 |