| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,809 |
1,535 |
$434K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,233 |
702 |
$178K |
| 90837 |
Psychotherapy, 53 minutes with patient |
493 |
195 |
$80K |
| X5622 |
|
209 |
205 |
$55K |
| 90834 |
Psychotherapy, 45 minutes with patient |
58 |
24 |
$9K |
| 99215 |
Prolong outpt/office vis |
17 |
12 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
23 |
14 |
$3K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
281 |
158 |
$681.10 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
398 |
217 |
$0.00 |
| 92551 |
|
52 |
27 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
230 |
129 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
49 |
27 |
$0.00 |
| 99173 |
|
50 |
26 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
21 |
12 |
$0.00 |