| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,688 |
4,912 |
$112K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,023 |
2,684 |
$97K |
| 99442 |
|
855 |
667 |
$15K |
| 90836 |
|
587 |
518 |
$14K |
| 99441 |
|
1,100 |
951 |
$12K |
| 90834 |
Psychotherapy, 45 minutes with patient |
403 |
375 |
$8K |
| 90837 |
Psychotherapy, 53 minutes with patient |
294 |
265 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
214 |
188 |
$3K |
| D1999 |
|
131 |
117 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
86 |
72 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
22 |
14 |
$698.00 |
| D0120 |
Periodic oral evaluation - established patient |
67 |
65 |
$682.94 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
27 |
27 |
$624.61 |
| D1110 |
Prophylaxis - adult |
14 |
14 |
$398.05 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
65 |
63 |
$191.70 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
20 |
20 |
$177.60 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
58 |
58 |
$76.30 |
| 70450 |
Computed tomography, head or brain; without contrast material |
52 |
52 |
$30.62 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
713 |
648 |
$25.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
31 |
31 |
$20.00 |
| 99201 |
|
12 |
12 |
$18.49 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$0.00 |