| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,074 |
21,393 |
$5.66M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,740 |
13,642 |
$2.93M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,120 |
982 |
$283K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
592 |
529 |
$131K |
| 99215 |
Prolong outpt/office vis |
827 |
714 |
$127K |
| 90837 |
Psychotherapy, 53 minutes with patient |
566 |
438 |
$118K |
| 90834 |
Psychotherapy, 45 minutes with patient |
381 |
276 |
$77K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
301 |
293 |
$77K |
| 90832 |
Psychotherapy, 30 minutes with patient |
147 |
125 |
$31K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
49 |
43 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
907 |
863 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
12 |
$680.64 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
52 |
49 |
$510.66 |
| D0145 |
Oral evaluation for a patient under three years of age |
229 |
225 |
$314.24 |
| D0190 |
|
86 |
85 |
$273.40 |
| 98928 |
|
57 |
37 |
$71.04 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
25 |
15 |
$0.00 |