| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,997 |
6,859 |
$673K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,489 |
1,439 |
$129K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,022 |
1,064 |
$125K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,834 |
874 |
$108K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,490 |
2,260 |
$85K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
992 |
338 |
$38K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
489 |
138 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
267 |
87 |
$11K |
| 90837 |
Psychotherapy, 53 minutes with patient |
94 |
51 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
315 |
315 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
96 |
39 |
$3K |
| 90686 |
|
243 |
203 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
51 |
51 |
$1K |
| 1159F |
|
1,776 |
1,606 |
$985.85 |
| 99173 |
|
1,577 |
1,573 |
$679.00 |
| 96127 |
|
404 |
404 |
$305.16 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
24 |
24 |
$185.26 |
| 92587 |
|
16 |
15 |
$20.47 |
| 3074F |
|
1,625 |
1,524 |
$2.50 |
| 3078F |
|
1,538 |
1,442 |
$2.50 |
| 90654 |
|
91 |
91 |
$0.00 |
| 3079F |
|
24 |
24 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$0.00 |
| 90656 |
|
12 |
12 |
$0.00 |
| 1160F |
|
1,750 |
1,602 |
$0.00 |