| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,792 |
14,461 |
$2.73M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,306 |
6,484 |
$1.29M |
| X5622 |
|
2,525 |
2,421 |
$742K |
| 90837 |
Psychotherapy, 53 minutes with patient |
4,133 |
1,440 |
$700K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,241 |
1,652 |
$456K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,822 |
1,435 |
$58K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
881 |
688 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
865 |
713 |
$20K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
4,823 |
3,661 |
$8K |
| 99215 |
Prolong outpt/office vis |
28 |
28 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
38 |
37 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
103 |
63 |
$4K |
| 99188 |
|
1,981 |
1,505 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,846 |
1,478 |
$144.26 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,883 |
2,143 |
$66.73 |
| 96127 |
|
4,239 |
3,250 |
$63.66 |
| 90686 |
|
1,093 |
896 |
$43.56 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,326 |
1,675 |
$30.51 |
| 92551 |
|
1,805 |
1,278 |
$18.58 |
| 99173 |
|
1,797 |
1,276 |
$2.29 |
| 90461 |
|
1,576 |
1,101 |
$0.39 |
| 90670 |
|
506 |
336 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
84 |
41 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
12 |
12 |
$0.00 |
| 90685 |
|
25 |
24 |
$0.00 |
| 90633 |
|
52 |
36 |
$0.00 |
| 90734 |
|
15 |
13 |
$0.00 |
| 90698 |
|
524 |
345 |
$0.00 |
| 96161 |
|
24 |
24 |
$0.00 |
| 90651 |
|
18 |
14 |
$0.00 |