| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
495 |
421 |
$22K |
| 90837 |
Psychotherapy, 53 minutes with patient |
186 |
115 |
$18K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
259 |
218 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
95 |
88 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
13 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
13 |
$923.70 |
| 90686 |
|
54 |
42 |
$708.33 |
| 36415 |
Collection of venous blood by venipuncture |
494 |
415 |
$568.01 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
19 |
16 |
$364.26 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
30 |
25 |
$236.25 |