| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,238 |
4,622 |
$294K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
557 |
511 |
$52K |
| 90834 |
Psychotherapy, 45 minutes with patient |
646 |
313 |
$45K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
309 |
84 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
464 |
357 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
103 |
103 |
$7K |
| 99173 |
|
361 |
361 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
62 |
62 |
$5K |
| 97802 |
|
310 |
310 |
$2K |
| 92551 |
|
365 |
365 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
303 |
293 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
247 |
246 |
$1K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
16 |
12 |
$722.21 |
| 36410 |
|
354 |
349 |
$404.77 |
| 99408 |
|
26 |
25 |
$98.25 |
| 90686 |
|
83 |
83 |
$38.06 |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
12 |
12 |
$25.41 |
| 1000F |
|
12 |
12 |
$0.00 |
| 99000 |
|
14 |
14 |
$0.00 |
| 90461 |
|
15 |
14 |
$0.00 |
| 83655 |
|
12 |
12 |
$0.00 |