| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,478 |
8,372 |
$1.25M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,537 |
3,987 |
$608K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
862 |
779 |
$94K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
232 |
216 |
$25K |
| 90837 |
Psychotherapy, 53 minutes with patient |
190 |
133 |
$21K |
| X5622 |
|
148 |
121 |
$18K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
30 |
25 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,993 |
1,419 |
$280.86 |
| 90686 |
|
1,160 |
856 |
$121.99 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
87 |
68 |
$42.02 |
| 99173 |
|
281 |
201 |
$0.01 |
| 0002A |
|
40 |
40 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
76 |
41 |
$0.00 |
| 0071A |
|
28 |
28 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
63 |
57 |
$0.00 |
| 0001A |
|
30 |
30 |
$0.00 |
| 92551 |
|
292 |
193 |
$0.00 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
99 |
71 |
$0.00 |
| 96127 |
|
75 |
50 |
$0.00 |
| 90688 |
|
86 |
50 |
$0.00 |