| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,361 |
5,465 |
$195K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,876 |
1,610 |
$74K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,022 |
1,490 |
$66K |
| 90837 |
Psychotherapy, 53 minutes with patient |
753 |
538 |
$50K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,043 |
819 |
$47K |
| 90791 |
Psychiatric diagnostic evaluation |
407 |
392 |
$28K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
178 |
152 |
$11K |
| 97803 |
|
380 |
266 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
42 |
38 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
61 |
57 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
30 |
27 |
$2K |
| 97802 |
|
33 |
30 |
$2K |
| 3077F |
|
211 |
161 |
$220.00 |
| 93000 |
|
15 |
13 |
$161.07 |
| 90686 |
|
16 |
13 |
$133.76 |
| 3078F |
|
214 |
161 |
$130.00 |
| 92551 |
|
16 |
12 |
$92.65 |
| 3074F |
|
46 |
42 |
$40.00 |
| 3079F |
|
44 |
37 |
$40.00 |
| 98960 |
|
44 |
18 |
$0.00 |