| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,891 |
1,519 |
$72K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
203 |
188 |
$12K |
| 90834 |
Psychotherapy, 45 minutes with patient |
59 |
45 |
$3K |
| 99442 |
|
140 |
102 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
167 |
165 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
27 |
24 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
24 |
$649.56 |
| 90686 |
|
114 |
111 |
$622.30 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$478.02 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29 |
26 |
$324.88 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
14 |
$271.87 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
33 |
33 |
$263.44 |
| 82962 |
|
69 |
67 |
$155.94 |
| 90461 |
|
166 |
78 |
$15.00 |