| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,421 |
9,062 |
$1.78M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,140 |
802 |
$182K |
| 99441 |
|
567 |
528 |
$82K |
| 90837 |
Psychotherapy, 53 minutes with patient |
303 |
95 |
$56K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
175 |
161 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
94 |
53 |
$16K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
81 |
80 |
$11K |
| 90834 |
Psychotherapy, 45 minutes with patient |
68 |
36 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
37 |
36 |
$5K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
37 |
15 |
$2K |
| 90662 |
|
29 |
29 |
$2K |
| 0124A |
|
46 |
32 |
$721.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,474 |
1,242 |
$228.52 |
| 90686 |
|
1,363 |
1,143 |
$134.47 |
| 92551 |
|
193 |
142 |
$97.02 |
| 0002A |
|
215 |
209 |
$57.52 |
| 0011A |
|
25 |
25 |
$43.14 |
| 0012A |
|
14 |
14 |
$43.14 |
| 99173 |
|
185 |
139 |
$33.66 |
| 90656 |
|
44 |
29 |
$20.02 |
| 0001A |
|
266 |
257 |
$14.38 |
| 91300 |
|
638 |
525 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
61 |
49 |
$0.00 |
| 0071A |
|
62 |
62 |
$0.00 |
| 91312 |
|
46 |
32 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
40 |
30 |
$0.00 |
| 91307 |
|
110 |
97 |
$0.00 |
| 91301 |
|
78 |
75 |
$0.00 |
| 0072A |
|
32 |
32 |
$0.00 |