| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
624 |
550 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
43,201 |
33,080 |
$23K |
| 90834 |
Psychotherapy, 45 minutes with patient |
7,052 |
4,072 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,708 |
5,232 |
$5K |
| 90837 |
Psychotherapy, 53 minutes with patient |
8,215 |
2,947 |
$3K |
| 87430 |
|
36 |
36 |
$702.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,013 |
1,936 |
$581.32 |
| 90480 |
|
19 |
19 |
$512.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
20,242 |
17,114 |
$491.63 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
428 |
420 |
$441.68 |
| 0124A |
|
13 |
13 |
$440.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,599 |
3,450 |
$344.73 |
| 87081 |
|
24 |
24 |
$227.76 |
| 71046 |
Radiologic examination, chest; 2 views |
2,498 |
2,367 |
$120.99 |
| Q3014 |
Telehealth originating site facility fee |
380 |
252 |
$53.30 |
| D1110 |
Prophylaxis - adult |
3,285 |
3,246 |
$0.00 |
| 97161 |
|
181 |
75 |
$0.00 |
| 99442 |
|
1,430 |
979 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,236 |
350 |
$0.00 |
| 90686 |
|
48 |
48 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
16,025 |
13,642 |
$0.00 |
| 99441 |
|
418 |
327 |
$0.00 |
| 71020 |
|
260 |
251 |
$0.00 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
415 |
91 |
$0.00 |
| 1111F |
|
12 |
12 |
$0.00 |