| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,285 |
4,018 |
$109K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,166 |
2,139 |
$45K |
| 59425 |
|
226 |
166 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
496 |
492 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,128 |
1,123 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,015 |
821 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
285 |
283 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
172 |
170 |
$8K |
| 90686 |
|
378 |
378 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
142 |
142 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$2K |
| 90461 |
|
192 |
185 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
17 |
17 |
$2K |
| 59430 |
|
12 |
12 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
29 |
27 |
$1K |
| 90715 |
|
12 |
12 |
$861.13 |
| 99441 |
|
137 |
126 |
$665.91 |
| 3008F |
|
754 |
740 |
$660.00 |
| 99173 |
|
325 |
325 |
$638.90 |
| 81002 |
|
893 |
618 |
$435.57 |
| 92551 |
|
99 |
99 |
$349.72 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$255.13 |
| 92552 |
|
30 |
30 |
$203.83 |
| 90832 |
Psychotherapy, 30 minutes with patient |
47 |
38 |
$136.42 |
| 81025 |
|
20 |
20 |
$133.12 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$115.45 |
| 99442 |
|
18 |
18 |
$49.56 |
| 94760 |
|
141 |
139 |
$35.16 |
| 3074F |
|
113 |
112 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
28 |
28 |
$0.00 |
| 3078F |
|
102 |
101 |
$0.00 |
| 90670 |
|
16 |
16 |
$0.00 |