| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,104 |
9,587 |
$568K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,859 |
8,541 |
$329K |
| 90837 |
Psychotherapy, 53 minutes with patient |
293 |
142 |
$28K |
| 90688 |
|
580 |
552 |
$11K |
| 99215 |
Prolong outpt/office vis |
73 |
63 |
$7K |
| 96127 |
|
1,821 |
1,692 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
469 |
452 |
$4K |
| 0011A |
|
102 |
96 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
25 |
12 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
60 |
60 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
44 |
41 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
12 |
12 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
12 |
$605.87 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
139 |
132 |
$508.88 |
| 81002 |
|
299 |
274 |
$421.81 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
77 |
76 |
$58.20 |
| 82043 |
|
13 |
13 |
$18.50 |
| 82570 |
|
13 |
13 |
$16.58 |
| 91301 |
|
39 |
38 |
$0.01 |
| 99499 |
|
307 |
238 |
$0.00 |
| 1159F |
|
601 |
523 |
$0.00 |
| 1160F |
|
597 |
520 |
$0.00 |
| 3078F |
|
43 |
40 |
$0.00 |
| 3074F |
|
132 |
120 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
60 |
57 |
$0.00 |