| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29,098 |
26,522 |
$1.53M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,182 |
23,474 |
$1.01M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
738 |
727 |
$50K |
| 90834 |
Psychotherapy, 45 minutes with patient |
188 |
107 |
$9K |
| 99215 |
Prolong outpt/office vis |
92 |
88 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
603 |
595 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
141 |
138 |
$8K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
126 |
121 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
206 |
202 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
71 |
68 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
38 |
36 |
$2K |
| 99335 |
|
88 |
78 |
$2K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
1,144 |
1,006 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
57 |
56 |
$2K |
| 99442 |
|
39 |
39 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
362 |
320 |
$1K |
| 90662 |
|
27 |
26 |
$874.07 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
31 |
30 |
$870.94 |
| 92551 |
|
142 |
139 |
$857.01 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$786.12 |
| 90461 |
|
24 |
24 |
$707.49 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
26 |
26 |
$617.89 |
| 0002A |
|
12 |
12 |
$457.92 |
| 96127 |
|
58 |
54 |
$272.63 |
| G0008 |
Administration of influenza virus vaccine |
26 |
26 |
$271.95 |
| 99406 |
|
14 |
14 |
$139.33 |
| 90686 |
|
530 |
523 |
$101.48 |
| 99173 |
|
85 |
83 |
$101.33 |
| 90656 |
|
14 |
13 |
$15.30 |
| X5622 |
|
28 |
26 |
$0.00 |
| 91300 |
|
21 |
20 |
$0.00 |