| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,820 |
1,406 |
$63K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
851 |
726 |
$18K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,012 |
506 |
$16K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
297 |
279 |
$11K |
| 99384 |
|
67 |
63 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
78 |
73 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
611 |
496 |
$5K |
| 92551 |
|
410 |
373 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
40 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
180 |
150 |
$2K |
| T1001 |
Nursing assessment / evaluation |
158 |
143 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
121 |
79 |
$1K |
| 90837 |
Psychotherapy, 53 minutes with patient |
39 |
24 |
$913.71 |
| 99173 |
|
484 |
423 |
$664.00 |
| 0072A |
|
25 |
22 |
$652.88 |
| 85018 |
|
312 |
257 |
$467.55 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
32 |
25 |
$419.98 |
| 90734 |
|
28 |
24 |
$337.50 |
| 81002 |
|
145 |
118 |
$248.27 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
148 |
50 |
$197.15 |
| 90651 |
|
58 |
40 |
$162.37 |
| 96127 |
|
157 |
134 |
$117.62 |
| 96160 |
|
881 |
734 |
$30.00 |
| 82962 |
|
14 |
13 |
$24.13 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
778 |
639 |
$0.00 |
| 90620 |
|
16 |
14 |
$0.00 |
| 91307 |
|
20 |
17 |
$0.00 |