| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,270 |
1,046 |
$81K |
| 90832 |
Psychotherapy, 30 minutes with patient |
179 |
130 |
$10K |
| 90791 |
Psychiatric diagnostic evaluation |
75 |
74 |
$9K |
| 99348 |
|
121 |
95 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
115 |
94 |
$5K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
23 |
21 |
$2K |
| 91322 |
|
13 |
13 |
$2K |
| 82962 |
|
670 |
551 |
$1K |
| 90480 |
|
25 |
25 |
$798.80 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$466.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
30 |
$323.75 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
19 |
16 |
$211.14 |
| 99349 |
|
43 |
40 |
$70.13 |
| 99499 |
|
75 |
75 |
$0.00 |
| 1160F |
|
1,208 |
1,039 |
$0.00 |
| 1159F |
|
1,209 |
1,040 |
$0.00 |
| 3078F |
|
780 |
654 |
$0.00 |
| 3077F |
|
39 |
32 |
$0.00 |
| 1126F |
|
870 |
756 |
$0.00 |
| 3075F |
|
167 |
149 |
$0.00 |
| 3008F |
|
1,068 |
925 |
$0.00 |
| 1125F |
|
893 |
738 |
$0.00 |
| 99496 |
|
142 |
132 |
$0.00 |
| 3074F |
|
669 |
568 |
$0.00 |
| 3079F |
|
295 |
260 |
$0.00 |
| 1111F |
|
203 |
189 |
$0.00 |
| 99350 |
Prolong home eval add 15m |
87 |
84 |
$0.00 |