| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,813 |
4,290 |
$385K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,290 |
1,131 |
$156K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,638 |
925 |
$118K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
124 |
108 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
484 |
455 |
$10K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
995 |
785 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
61 |
59 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
140 |
127 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
208 |
198 |
$7K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
40 |
38 |
$5K |
| 99215 |
Prolong outpt/office vis |
15 |
12 |
$3K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
676 |
676 |
$3K |
| 90670 |
|
52 |
50 |
$3K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
13 |
12 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
179 |
172 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
14 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
15 |
13 |
$1K |
| 90686 |
|
128 |
124 |
$1K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
64 |
57 |
$1K |
| 96127 |
|
118 |
108 |
$1K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
14 |
14 |
$1K |
| 11721 |
|
69 |
68 |
$715.35 |
| 90723 |
|
25 |
25 |
$594.60 |
| 90688 |
|
30 |
30 |
$478.08 |
| 90680 |
|
13 |
13 |
$324.12 |
| 90473 |
|
13 |
13 |
$300.68 |
| 90656 |
|
12 |
12 |
$155.27 |
| 90647 |
|
13 |
13 |
$150.36 |
| 99307 |
|
12 |
12 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |