| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,753 |
16,096 |
$2.86M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,092 |
6,586 |
$1.03M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
771 |
714 |
$89K |
| 90832 |
Psychotherapy, 30 minutes with patient |
379 |
184 |
$52K |
| X5622 |
|
360 |
323 |
$50K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
606 |
479 |
$33K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
254 |
244 |
$28K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
137 |
132 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
207 |
178 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
82 |
79 |
$9K |
| 99188 |
|
644 |
531 |
$7K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
569 |
425 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
57 |
39 |
$788.88 |
| 90686 |
|
2,347 |
1,937 |
$655.43 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,075 |
2,596 |
$198.65 |
| 36415 |
Collection of venous blood by venipuncture |
2,450 |
2,095 |
$50.59 |
| 90656 |
|
43 |
29 |
$43.00 |
| 99173 |
|
1,468 |
1,181 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
643 |
501 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
695 |
499 |
$0.00 |
| 90670 |
|
53 |
36 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
149 |
130 |
$0.00 |
| 90685 |
|
27 |
27 |
$0.00 |
| 96127 |
|
2,890 |
2,087 |
$0.00 |
| 85018 |
|
28 |
27 |
$0.00 |
| 92551 |
|
1,593 |
1,280 |
$0.00 |
| 0001A |
|
63 |
63 |
$0.00 |
| 90651 |
|
14 |
12 |
$0.00 |