| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,843 |
9,962 |
$945K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,342 |
1,226 |
$177K |
| 90837 |
Psychotherapy, 53 minutes with patient |
560 |
359 |
$45K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,039 |
1,028 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
27 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
102 |
102 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
38 |
28 |
$2K |
| 90686 |
|
250 |
249 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
42 |
42 |
$502.18 |
| 99341 |
|
12 |
12 |
$178.06 |
| 11721 |
|
14 |
14 |
$162.30 |
| 90723 |
|
12 |
12 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
13 |
13 |
$0.00 |