| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,365 |
5,483 |
$301K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,637 |
4,109 |
$290K |
| 99205 |
Prolong outpt/office vis |
1,118 |
1,098 |
$124K |
| 99215 |
Prolong outpt/office vis |
360 |
342 |
$31K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
105 |
105 |
$17K |
| 90791 |
Psychiatric diagnostic evaluation |
112 |
107 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
887 |
715 |
$9K |
| 86580 |
|
1,105 |
1,081 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
90 |
77 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
87 |
79 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
36 |
36 |
$1K |
| 87428 |
|
17 |
17 |
$941.11 |
| 99000 |
|
13 |
13 |
$129.54 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
13 |
$14.68 |