| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,747 |
10,372 |
$858K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,747 |
8,765 |
$512K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,034 |
878 |
$30K |
| 90791 |
Psychiatric diagnostic evaluation |
247 |
230 |
$28K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
581 |
191 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,039 |
957 |
$17K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
471 |
386 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
167 |
152 |
$13K |
| 90686 |
|
1,445 |
1,350 |
$12K |
| 97803 |
|
310 |
307 |
$11K |
| 96127 |
|
2,349 |
2,138 |
$7K |
| 97802 |
|
123 |
120 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
63 |
54 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
81 |
54 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
34 |
29 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
90 |
90 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
18 |
13 |
$1K |
| D0145 |
Oral evaluation for a patient under three years of age |
36 |
36 |
$810.68 |
| 98926 |
|
34 |
33 |
$562.89 |
| 90688 |
|
45 |
44 |
$370.04 |
| 11721 |
|
14 |
12 |
$133.48 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
19 |
18 |
$68.94 |
| G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
19 |
14 |
$43.72 |
| 90461 |
|
100 |
92 |
$39.00 |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
13 |
$4.24 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
52 |
44 |
$0.00 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
80 |
19 |
$0.00 |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
68 |
27 |
$0.00 |
| 98960 |
|
15 |
15 |
$0.00 |
| 90670 |
|
14 |
12 |
$0.00 |